NPIMap

Organization Active NPI

Montana State University

Doing business as Msu Student Health Service Pharmacy

  • Clinic Pharmacy
  • Bozeman, MT
National Provider Identifier
1073653218
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHA-PHR-LIC-390 Issued in MT
Legal business name
MONTANA STATE UNIVERSITY
Doing business as
Msu Student Health Service Pharmacy
Practice address
Msu Student Health Service RX
7TH and Grant
Bozeman, MT 59715-0002
Phone
(406) 994-5498
Fax
(406) 994-7071
NPI assigned
Feb 7, 2007
Last updated
Feb 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Jean Sternhagen, RPH
Title
Pharmacist in Charge
Phone
(406) 994-5498

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X PHA-PHR-LIC-390 MT Primary

Addresses

Primary practice location

Msu Student Health Service RX
7TH and Grant
Bozeman, MT 59715-0002

Mailing address

Msu Student Health Service RX
P.O.Box 173260
Bozeman, MT 59717
Phone (406) 994-5498

Other identifiers 2

IdentifierTypeStateIssuer
000211055MedicaidMT
2049835OtherPK

Other names 1

  • MSU STUDENT HEALTH SERVICE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montana State Universit3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1073653218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSU STUDENT HEALTH SERVICE RX",
            "address_2": "P.O.BOX 173260",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59717",
            "telephone_number": "406-994-5498",
            "fax_number": "406-994-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSU STUDENT HEALTH SERVICE RX",
            "address_2": "7TH AND GRANT",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597150002",
            "telephone_number": "406-994-5498",
            "fax_number": "406-994-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "STERNHAGEN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "406-994-5498",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MT",
            "license": "PHA-PHR-LIC-390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000211055",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSU STUDENT HEALTH SERVICE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.