Vans Iga of Dillon Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAPHRLIC14805 Issued in MT

Legal business name

VANS IGA OF DILLON INC

Practice address

110 Southside Blvd
Dillon, MT 59725-3536

Phone

(406) 988-7121

Fax

(406) 683-3540

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Bonnie RebishNPI 1285034306

Title

Pic

Phone

(406) 988-7121

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Vans Pharmacy Doing business as

Locations

Practitioners 1

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

• Bonnie Rose Rebish

  • Pharmacist
  • Dillon, MT
  • NPI 1285034306
  NPD (past) Authorized official

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1073853941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTHSIDE BLVD",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253536",
            "telephone_number": "406-988-7121",
            "fax_number": "406-683-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTHSIDE BLVD",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253536",
            "telephone_number": "406-988-7121",
            "fax_number": "406-683-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANS IGA OF DILLON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "REBISH",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "406-988-7121"
    },
    "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": "PHAPHRLIC14805",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139191",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610084",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vans Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hallie Ann Kerins Tipton, MD
• Trina Health of Montana, LLC
• Trucker Anesthesia, Inc.
• Carol Ann Uhler, MACCCSLP
• Karina Kaye Van Slyke, PA-S
• Kirk R Vanslyke, DPT
• Molly Anne Viall, OTR/L, MOT, BS, LMT
• Vibrant Lives of Montana
• Timothy Steven Visscher, MD
• Kenny Joe Wallen, D.N.P.

• Community/Retail Pharmacy in Dillon, MT
• Providers in Dillon, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.