Organization Active NPI

Whitehall Pharmacy Inc

Doing business as Whitehall Drug

  • Community/Retail Pharmacy
  • Whitehall, MT
National Provider Identifier
1154480861
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WHITEHALL PHARMACY INC
Doing business as
Whitehall Drug
Practice address
411 E Legion St
Whitehall, MT 59759-7743
Phone
(406) 287-3931
Fax
(406) 287-9294
NPI assigned
Dec 8, 2006
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Clifford Josh Morris, PHARM DNPI 1881807261
Title
Owner
Phone
(406) 287-3931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

411 E Legion St
Whitehall, MT 59759-7743

Mailing address

PO Box 26
Boulder, MT 59632-0026
Phone (406) 287-3931

Other identifiers 3

IdentifierTypeStateIssuer
1154480861MedicaidMT
0566878OtherMTDME
173035001BMedicaidMT

Other names 1

  • Whitehall Drug Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2304176Whitehall Pharmacy411 E Legion Ave, Whitehall, MT 59759Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1154480861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "BOULDER",
            "state": "MT",
            "postal_code": "596320026",
            "telephone_number": "406-287-3931",
            "fax_number": "406-287-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E LEGION ST",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "597597743",
            "telephone_number": "406-287-3931",
            "fax_number": "406-287-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-287-3931",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154480861",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0566878",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173035001B",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitehall Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whitehall Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.