Organization Active NPI

Butte IV Pharmacy, Inc. D.B.a. Home IV Pharmacy

  • Pharmacist
  • Butte, MT
National Provider Identifier
1194870279
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2812 Issued in MT
Legal business name
BUTTE IV PHARMACY, INC. D.B.A. HOME IV PHARMACY
Practice address
2601 1/2 Continental Dr
Butte, MT 59701-4542
Phone
(406) 723-4099
Fax
(406) 723-4059
NPI assigned
Jan 25, 2007
Last updated
Feb 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Mrs. Sharon Dotter
Title
Secretary-Treasurer
Phone
(406) 723-4099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2812 MT Primary

Addresses

Primary practice location

2601 1/2 Continental Dr
Butte, MT 59701-4542

Mailing address

2601 1/2 Continental Dr
Butte, MT 59701-4542
Phone (406) 723-4099

Other identifiers 3

IdentifierTypeStateIssuer
0211536MedicaidMT
560833MedicaidMT
5606583MedicaidMT

National Provider Directory

National Provider Directory

Locations

2601 Continental Dr
Butte, MT 59701
Phone (406) 723-4099

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1194870279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 1/2 CONTINENTAL DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014542",
            "telephone_number": "406-723-4099",
            "fax_number": "406-723-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 1/2 CONTINENTAL DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014542",
            "telephone_number": "406-723-4099",
            "fax_number": "406-723-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTE IV PHARMACY, INC. D.B.A. HOME IV PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "DOTTER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "406-723-4099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "2812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211536",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560833",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5606583",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.