Jorgenson Drug Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

JORGENSON DRUG INC

Practice address

148 Main St
Roundup, MT 59072-2830

Phone

(406) 323-1811

Fax

(406) 323-1621

NPI assigned

Dec 1, 2006

Last updated

Sep 11, 2025By 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

Sheila Soderberg, RPH

Title

Pres Owner

Phone

(406) 323-1811

Specialties & licenses 5

Addresses

Other identifiers 2

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205904109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MAIN ST",
            "city": "ROUNDUP",
            "state": "MT",
            "postal_code": "590722830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MAIN ST",
            "city": "ROUNDUP",
            "state": "MT",
            "postal_code": "590722830",
            "telephone_number": "406-323-1811",
            "fax_number": "406-323-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGENSON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SODERBERG",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "406-323-1811",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MT",
            "license": "763",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213122",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2704559",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.