Individual provider Active NPI

Andrew David Borden

  • Pharmacist
  • Kalispell, MT
National Provider Identifier
1194690297
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA-PHA-LIC-117849 Issued in MT
Practice address
170 Hutton Ranch Rd
Kalispell, MT 59901-3254
Phone
(406) 755-3909
NPI assigned
Oct 8, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA-PHA-LIC-117849 MT Primary

Addresses

Primary practice location

170 Hutton Ranch Rd
Kalispell, MT 59901-3254

Mailing address

170 Hutton Ranch Rd
Kalispell, MT 59901-3254
Phone (406) 755-3909

Other practice location 1

4000 Hwy 93 S
Missoula, MT 59804
Phone (406) 251-6066

Other practice location 2

36318 Memory Ln
Polson, MT 59860-7265
Phone (406) 883-9221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PHA-PHA-LIC-117849MTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1194690297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HUTTON RANCH RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013254",
            "telephone_number": "406-755-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HUTTON RANCH RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013254",
            "telephone_number": "406-755-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Hwy 93 S",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "59804",
            "country_code": "US",
            "telephone_number": "406-251-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36318 Memory Ln",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598607265",
            "country_code": "US",
            "telephone_number": "406-883-9221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-117849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.