Eureka Drug Inc
Organization Active NPI Community/Retail Pharmacy · Eureka, MT
NPI 1124251095 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1124251095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 15303 (MT)
- Legal business name
- EUREKA DRUG INC
- Practice address
- 546 US Highway 93 N
Eureka, MT 59917-9053 - Phone
- (406) 297-7748
- Fax
- (833) 642-8900
- NPI assigned
- Aug 26, 2009
- Organization subpart
- No
Authorized official
- Name
- Trevor Ryan Erickson, RPH
- Title
- President
- Phone
- (406) 297-7748
Practitioners 4
-
Trevor Ryan Erickson, RPH
-
Daphne Bailey Hollingsworth, PHARMD
-
Brandon H Olesen, PHARM.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eureka Drug Inc |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Surgical Dressings | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043296 | MT | DME Supplier - Pharmacy | 2961692843 | Practice locations: Eureka, MT |
| O20140415000664 | MT | Part B Supplier - Mass Immunization (Roster Biller Only) | 2961692843 | Practice locations: Eureka, MT |
National Provider Directory
Locations
546 US Highway 93 N
Eureka, MT 59917
Phone (406) 270-0061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Community/Retail Pharmacy | 3336C0003X | 15303 | MT | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
546 US Highway 93 N
Eureka, MT 59917-9053
Mailing address
PO Box 305
Eureka, MT 59917-0305
Phone (406) 297-7748
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124251095 | Medicaid | MT | |
| 2121746 | Other | PK |
Other names
- Eureka Drug
Other providers in Eureka, MT
- Amy Marie Durden
- Alice Bain Elrod
- Eric Daniels DDS
- Amanda Erickson
- Trevor Ryan Erickson
- Eureka Family Chiropractic P.C.
- Eureka of Cascadia, LLC
- Eureka Public School Dist 13
- Eureka Volunteer Ambulance Service Inc
- Tayler Ann Featherly
All providers in Eureka, MT · Community/Retail Pharmacy in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.