Bozeman Health Big Sky Medical Center Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BOZEMAN HEALTH BIG SKY MEDICAL CENTER PHARMACY

Practice address

334 Town Center Ave
Big Sky, MT 59716-1529

Phone

(406) 995-6500

Fax

(406) 995-6510

NPI assigned

Jan 19, 2007

Last updated

Mar 25, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

BOZEMAN HEALTH BIG SKY MEDICAL CENTER LLCAs reported in NPPES

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

Authorized official

Name

Elizabeth Lewis

Title

Coo

Phone

(406) 414-5000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bozeman Health Big Sky Medical Center LLC Other name

Tax ID family

Bozeman Health Big Sky Medical Center Pharmacy2 organizations share this tax ID, including this one

Part of

Bozeman Health Big Sky Medical Center Pharmacy

Other organizations with this tax ID 1

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

• Bozeman Health Big Sky Medical Center, LLC

  dba Bozeman Health Cottonwood Clinic Big Sky Medical Center

  • Rural Health Clinic/Center
  • Bozeman, MT
  • NPI 1144194960
  NPD tax ID

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1124171426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161529",
            "address_2": "334 TOWN CENTER AVE",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "597161529",
            "telephone_number": "406-995-6500",
            "fax_number": "406-995-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 TOWN CENTER AVE",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "597161529",
            "telephone_number": "406-995-6500",
            "fax_number": "406-995-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN HEALTH BIG SKY MEDICAL CENTER PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOZEMAN HEALTH BIG SKY MEDICAL CENTER LLC",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "406-414-5000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124171426",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "2782630",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bozeman Health Big Sky Medical Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Big Sky Fire Department
• Big Sky Orthopaedics and Spine
• Big Sky Speech Therapy LLC
• John C Boersma, MPT
• Heidi Dawn Bowman, DPT
• Bozeman Health Big Sky Medical Center, LLC
• Bozeman Health Big Sky Medical Center, LLC (Bozeman Health Big Sky Medical Center)
• Bozeman Health Big Sky Medical Center, LLC
• Alice Carol Bremner, M.D.
• Allison M Brown, DPT

• Community/Retail Pharmacy in Big Sky, MT
• Providers in Big Sky, 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 Mar 25, 2016; 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.