Organization Active NPI

Garden City Pharmacy

  • Pharmacist
  • Missoula, MT
National Provider Identifier
1215083654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1110 Issued in MT
Legal business name
GARDEN CITY PHARMACY
Practice address
2910 S Reserve St
Missoula, MT 59801-7676
Phone
(406) 549-0898
Fax
(406) 549-0873
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rene Enebo, R.PH
Title
Owner Pharmacist
Phone
(406) 549-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 1110 MT Primary

Addresses

Primary practice location

2910 S Reserve St
Missoula, MT 59801-7676

Mailing address

2910 S Reserve St
Missoula, MT 59801-7676
Phone (406) 549-0898

National Provider Directory

National Provider Directory

Locations

2910 S Reserve St
Missoula, MT 59801
Phone (406) 549-0898

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215083654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017676",
            "telephone_number": "406-549-0898",
            "fax_number": "406-549-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017676",
            "telephone_number": "406-549-0898",
            "fax_number": "406-549-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENEBO",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "406-549-0898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.