Fairfield Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1149 Issued in MT

Legal business name

FAIRFIELD DRUG INC

Practice address

407 Central Ave
Fairfield, MT 59436

Phone

(406) 467-2336

Fax

(406) 467-3363

NPI assigned

Jan 31, 2007

Organization subpart

No

Name

Jill Tex, PHARMDNPI 1710799556

Title

Owner/Pharmacist in Charge

Phone

(406) 467-2336

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

• Jill Tex

  • Pharmacist
  • Fairfield, MT
  • NPI 1710799556
  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

• FAIRFIELD DRUG INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2017.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1083751978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "FAIRFIELD",
            "state": "MT",
            "postal_code": "594360247",
            "telephone_number": "406-467-2336",
            "fax_number": "406-467-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CENTRAL AVE",
            "city": "FAIRFIELD",
            "state": "MT",
            "postal_code": "59436",
            "telephone_number": "406-467-2336",
            "fax_number": "406-467-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "TEX",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "406-467-2336",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "1149",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1149",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": "1149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2782919",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6214353",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRFIELD DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Ann Burton, LCPC
• Angela Dailey, LCSW
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• All providers in Fairfield, MT
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.