NPIMap

Organization Active NPI

Western Drug Pharmacy

  • Community/Retail Pharmacy
  • Havre, MT
National Provider Identifier
1225140221
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1137 Issued in MT
Legal business name
WESTERN DRUG PHARMACY
Practice address
123 5TH Ave
Ste B
Havre, MT 59501-3624
Phone
(406) 265-9601
Fax
(406) 265-4422
NPI assigned
Aug 31, 2006
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Kelcey Diemert
Title
Owner
Phone
(406) 265-9601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 1137 MT Primary

Addresses

Primary practice location

123 5TH Ave
Ste B
Havre, MT 59501-3624

Mailing address

PO Box 631
Havre, MT 59501-0631

Other identifiers 2

IdentifierTypeStateIssuer
2764226OtherOTHER ID NUMBER
0213486MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1225140221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595010631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 5TH AVE",
            "address_2": "STE B",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013624",
            "telephone_number": "406-265-9601",
            "fax_number": "406-265-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DRUG PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "DIEMERT",
        "authorized_official_first_name": "KELCEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-265-9601"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2764226",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213486",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.