Organization Active NPI

Clinic United Pharmacy Inc

Doing business as Plaza United Pharmacy

  • Community/Retail Pharmacy
  • Great Falls, MT
National Provider Identifier
1073628012
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1246 Issued in MT
Legal business name
CLINIC UNITED PHARMACY INC
Doing business as
Plaza United Pharmacy
Practice address
2800 11TH Ave S
Great Falls, MT 59405-5263
Phone
(406) 727-0070
Fax
(406) 727-1028
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Levandowski, RPH
Title
Owner
Phone
(406) 771-3399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1246 MT Primary

Addresses

Primary practice location

2800 11TH Ave S
Great Falls, MT 59405-5263

Mailing address

2800 11TH Ave S
Great Falls, MT 59405-5263
Phone (406) 727-0070

Other identifiers 2

IdentifierTypeStateIssuer
216034MedicaidMT
2051870OtherPK

Other names 1

  • PLAZA UNITED PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinic Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1073628012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 11TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055263",
            "telephone_number": "406-727-0070",
            "fax_number": "406-727-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 11TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055263",
            "telephone_number": "406-727-0070",
            "fax_number": "406-727-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC UNITED PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "LEVANDOWSKI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-771-3399",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216034",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA UNITED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.