George a Yeats PC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

1228 Issued in MT

Legal business name

GEORGE A YEATS PC

Doing business as

Evergreen Compounding Pharmacy

Practice address

2640 Hwy 2 East
Kalispell, MT 59901-3227

Phone

(406) 257-2083

Fax

(406) 755-3219

NPI assigned

Jun 11, 2006

Last updated

Feb 21, 2017By 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

Jody Yeats

Title

Co-Owner

Phone

(406) 257-2083

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EVERGREEN COMPOUNDING PHARMACY Doing business as

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1205878733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HWY 2 EAST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013227",
            "telephone_number": "406-257-2083",
            "fax_number": "406-755-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HWY 2 EAST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013227",
            "telephone_number": "406-257-2083",
            "fax_number": "406-755-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A YEATS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "YEATS",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "406-257-2083"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MT",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215186",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERGREEN COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gateway Community Services (Gateway Community Services- Kalispell)
• Amy Gault, MSW
• Sarah Gehl
• Dena J Geiger, APRN FNP-C
• Ramon Generoso, MD
• Mackenzie George, PA-C
• Thomas F George, MD
• Lori Sue Gerber, LCSW
• Danielle Mae Gerszewski, AGACNP-BC
• Cheryl Gervasi, RPH

• Compounding Pharmacy in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Compounding Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.