Gregory Stoick Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1259 Issued in MT

Legal business name

GREGORY STOICK DRUG INC

Practice address

142 E Idaho St
Kalispell, MT 59901-4012

Phone

(406) 755-4103

Fax

(406) 755-4105

NPI assigned

Nov 1, 2006

Last updated

Apr 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dawn Stoick

Title

Owner

Phone

(406) 755-4103

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1174600704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E IDAHO ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014012",
            "telephone_number": "406-755-4103",
            "fax_number": "406-755-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E IDAHO ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014012",
            "telephone_number": "406-755-4103",
            "fax_number": "406-755-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY STOICK DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "STOICK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-755-4103",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210103",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560201",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "300670",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Z Green, LAC
• Melanie Greenbaum, M.S., CCC-SLP
• Samantha Noel Greenberg, MD
• Peter H Greenman, MD
• Daniel L. Gregerson, LCPC
• Kelly Marie Gregory, F.N.P.
• Gerianne L Gremaux, LAC, BSW, MPA
• Pamela Kay Greskowiak, LCPC
• Jonathan Griffin, STUDENT
• Robert J Griffin, PAC

• Community/Retail Pharmacy in Kalispell, MT
• Providers in Kalispell, 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 Apr 24, 2009; 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.