Active NPI
Emily Rose Houston, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Kalispell, MT
National Provider Identifier
1104604461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PHAPHALIC69569
- Practice address
- 31 Three Mile Dr Ste 10
Kalispell, MT 59901-3099 - Phone
- (612) 760-3424
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PHAPHALIC69569 | MT | Primary |
Addresses
Primary practice location
31 Three Mile Dr Ste 10
Kalispell, MT 59901-3099
Mailing address
305 Bismark St
Kalispell, MT 59901-9006
Phone (612) 760-3424
Other names 1
- Emily Rose Buckner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHAPHALIC69569 | MT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1104604461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 BISMARK ST",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599019006",
"telephone_number": "612-760-3424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 THREE MILE DR STE 10",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013099",
"telephone_number": "612-760-3424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "EMILY",
"middle_name": "ROSE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MT",
"license": "PHAPHALIC69569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "BUCKNER",
"middle_name": "ROSE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.