NPIMap

Organization Active NPI

Haines Public Drug, Inc.

  • Community/Retail Pharmacy
  • Whitefish, MT
National Provider Identifier
1124059480
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
299 Issued in MT
Legal business name
HAINES PUBLIC DRUG, INC.
Practice address
148 Central Ave
Whitefish, MT 59937-2549
Phone
(406) 862-2543
Fax
(406) 863-9878
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Justin Mackenzie, PHARM. D.
Title
Pharmacy Manager
Phone
(406) 862-2543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 299 MT Primary

Addresses

Primary practice location

148 Central Ave
Whitefish, MT 59937-2549

Mailing address

148 Central Ave
Whitefish, MT 59937-2549
Phone (406) 862-2543

Other identifiers 1

IdentifierTypeStateIssuer
2702416OtherMTNABP #

Other names 1

  • Haines Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haines Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124059480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CENTRAL AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372549",
            "telephone_number": "406-862-2543",
            "fax_number": "406-863-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 CENTRAL AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372549",
            "telephone_number": "406-862-2543",
            "fax_number": "406-863-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAINES PUBLIC DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "406-862-2543",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "2702416",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haines Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.