Organization Active NPI

St Peters Community Hospital

Doing business as St Peters Pharmacy-Broadway

  • Community/Retail Pharmacy
  • Helena, MT
National Provider Identifier
1205089588
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1272 Issued in MT
Legal business name
ST PETERS COMMUNITY HOSPITAL
Doing business as
St Peters Pharmacy-Broadway
Practice address
2550 E Broadway St
Helena, MT 59601-4905
Phone
(406) 444-2200
Fax
(406) 495-6809
NPI assigned
Oct 30, 2008
Last updated
Apr 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Starla Blank, PHARMD
Title
Senior Director of Therapeutics
Phone
(406) 444-2355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1272 MT Primary

Addresses

Primary practice location

2550 E Broadway St
Helena, MT 59601-4905

Mailing address

2550 E Broadway St
Helena, MT 59601-4905
Phone (406) 444-2200

Other identifiers 2

IdentifierTypeStateIssuer
2117576OtherPK
1205089588MedicaidMT

Other names 1

  • St Peters Pharmacy-Broadway Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1205089588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014905",
            "telephone_number": "406-444-2200",
            "fax_number": "406-447-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014905",
            "telephone_number": "406-444-2200",
            "fax_number": "406-495-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERS COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "STARLA",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF THERAPEUTICS",
        "authorized_official_telephone_number": "406-444-2355",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117576",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205089588",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Peters Pharmacy-Broadway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Peters Pharmacy-Broadway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.