NPIMap

Organization Active NPI

KC Western Drug

  • Community/Retail Pharmacy
  • Clyde Park, MT
National Provider Identifier
1134439797
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1317 Issued in MT
Legal business name
KC WESTERN DRUG
Practice address
105 E 1St
Clyde Park, MT 59018-0000
Phone
(406) 686-4270
NPI assigned
Oct 18, 2010
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
Mrs. Kari W Vondra
Title
Owner
Phone
(406) 222-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1317 MT Primary

Addresses

Primary practice location

105 E 1St
Clyde Park, MT 59018-0000

Mailing address

PO Box 337
Clyde Park, MT 59018-0337

Other identifiers 1

IdentifierTypeStateIssuer
1317OtherMTMONTANA PHARMACY LICENCE-1317

Other names 1

  • Western Drug, too Other name

National Provider Directory

National Provider Directory
Tax ID family
Gardiner Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1134439797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "CLYDE PARK",
            "state": "MT",
            "postal_code": "590180337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 1ST",
            "city": "CLYDE PARK",
            "state": "MT",
            "postal_code": "590180000",
            "telephone_number": "406-686-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC WESTERN DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VONDRA",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-222-7332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA PHARMACY LICENCE-1317",
            "identifier": "1317",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Drug, too",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Western Drug, too",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clyde Park, 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.