Long Pine Drug Co.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

585 Issued in MT

Legal business name

LONG PINE DRUG CO.

Doing business as

WHITEHALL DRUG

Practice address

29 West Legion St
Whitehall, MT 59759-9758

Phone

(406) 287-9294

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

David Michael Peterson, RPH

Title

Pharmacist in Charge

Phone

(406) 287-3931

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WHITEHALL DRUG Doing business as

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093832735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "597590338",
            "telephone_number": "406-287-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WEST LEGION ST",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "597599758",
            "telephone_number": "406-287-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG PINE DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "406-287-3931",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566878",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITEHALL DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Whitehall, MT
• Providers in Whitehall, MT by specialty
• Durable Medical Equipment & Medical Supplies in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.