Corvallis Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CORVALLIS DRUG INC

Practice address

1029 Main Street
Corvallis, MT 59828-0009

Phone

(406) 961-3221

Fax

(406) 961-4344

NPI assigned

Dec 26, 2006

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Klinton Kyp Curtis, OWNER

Title

Pharmacist

Phone

(406) 961-3221

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

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.

• Karen Lee Anderson, R.PH.

  • Pharmacist
  • Corvallis, MT
  • NPI 1891165494
  NPD (past)
• Rachel Jo Chinikaylo, PHARMD, RPH

  • Pharmacist
  • Corvallis, MT
  • NPI 1083287205
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1093870560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "1029 MAIN STREET",
            "city": "CORVALLIS",
            "state": "MT",
            "postal_code": "598280009",
            "telephone_number": "406-961-3221",
            "fax_number": "406-961-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MAIN STREET",
            "city": "CORVALLIS",
            "state": "MT",
            "postal_code": "598280009",
            "telephone_number": "406-961-3221",
            "fax_number": "406-961-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORVALLIS DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "KLINTON",
        "authorized_official_middle_name": "KYP",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "406-961-3221",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MT",
            "license": "1034",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MT",
            "license": "13-30123",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2700791",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562822",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bear Creek Wellness Center LLC
• Bitterroot Physical Therapy LLC (Willow Creek Physical Therapy)
• David J. Charlton, ATHLETIC TRAINER
• Rachel Jo Chinikaylo, PHARMD, RPH
• Gayle Christensen, P.T.
• Corvallis Physical Therapy, PC
• Corvallis School District
• Yvonne K Courchesne, MD
• Whitney Joyce Cranmore, OTR/L
• Marcy Leann Daly, D.P.T.

• Community/Retail Pharmacy in Corvallis, MT
• Providers in Corvallis, 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 Jan 16, 2025; 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.