Suzanne T Gates, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHA-PHA-LIC-42710 Issued in MT

Practice address

#5 4TH Ave E
Polson, MT 59865

Phone

(406) 745-3525

Fax

(406) 745-3529

NPI assigned

Jun 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Suzanne T Gates Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Polson, MT
  • NPI 1952789604
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1114248648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40770 MT HIGHWAY 35",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598607745",
            "telephone_number": "406-340-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#5 4TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "59865",
            "telephone_number": "406-745-3525",
            "fax_number": "406-745-3529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40770 Mt Highway 35",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598607745",
            "country_code": "US",
            "telephone_number": "406-340-6042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "SUZANNE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 00054148",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-42710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "GATES",
            "middle_name": "T",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kenneth L. Galewyrick, MD
• Ronald Shearer Gardner, MD
• Monte Garnett, MA-C
• Dawn Garrick
• Madonna Gartrell, PMHNP
• Corey Gaul, M.D.
• Jessica Gauthier, RDH
• Joost Gazendam, MD
• Robert Duane Gerrie, M.D.
• Ashley J Gilham, R.N.

• Pharmacist in Polson, MT
• Providers in Polson, MT by specialty
• Pharmacist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.