Kephas Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1218 Issued in MT

Legal business name

KEPHAS CORPORATION

Practice address

2515 6TH Ave N
Great Falls, MT 59401-1909

Phone

(406) 452-6461

Fax

(406) 452-4833

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Kurt Depner

Title

Co-Owner

Phone

(406) 452-6461

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SNYDER DRUGS Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Nelson Amen

  • Pharmacist
  • Great Falls, MT
  • NPI 1417346933
  NPD (past)
• Kori Depner

  • Pharmacist
  • Great Falls, MT
  • NPI 1215327333
  NPD (past)
• Daniel Wade Jacobson, RPH

  • Pharmacist
  • Great Falls, MT
  • NPI 1669576690
  NPD (past)
• Sharon A Olson, R.PH.

  • Pharmacist
  • Pahrump, NV
  • NPI 1770709958
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1235236167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 6TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011909",
            "telephone_number": "406-452-6461",
            "fax_number": "406-452-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 6TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011909",
            "telephone_number": "406-452-6461",
            "fax_number": "406-452-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEPHAS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "DEPNER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "406-452-6461"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049916",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218076",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNYDER DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SNYDER DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Ashmore PLLC
• Wiltey Russell Kendle, ATC
• Kate A Kennedy, ND
• Sarah Roos Kenney, M.D.
• Bryce Kent, PHARMD
• Keri Kingland LMT LLC
• Maxwell Giles Kern, PHYSICAL THERAPIST
• Jeffrey R Kessler, MD
• Raheel Khalid
• Khushal Khan

• Community/Retail Pharmacy in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.