406 RX, PLLC
Organization Active NPI Community/Retail Pharmacy · Hardin, MT
NPI 1063975845 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1063975845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- 406 RX, PLLC
- Practice address
- 901 N Center Ave
Hardin, MT 59034-1322 - Phone
- (406) 665-1682
- NPI assigned
- Apr 9, 2019
- Organization subpart
- No
Authorized official
- Name
- Joshua Fisher, PHARMD
- Title
- Co-Owner
- Phone
- (406) 207-8043
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211006001261 | MT | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719395953 | Practice locations: Hardin, MT |
National Provider Directory
- Tax ID family
- 406 RX PLLC
Locations
901 N Center Ave
Hardin, MT 59034
Phone (406) 665-1201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
901 N Center Ave
Hardin, MT 59034-1322
Mailing address
PO Box 1469
Columbus, MT 59019-1469
Phone (406) 665-1201
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063975845 | Medicaid | MT |
Other names
- Hardin Family Pharmacy
Other providers in Hardin, MT
- Big Horn County Public Health
- Big Horn Hospice Inc
- Big Horn Hospital Association
- Big Horn Hospital Association
- Big Horn Hospital Association
All providers in Hardin, MT · Community/Retail Pharmacy in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.