Service Drug, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1125 Issued in MT

Legal business name

SERVICE DRUG, INC.

Practice address

119 Main Street
Scobey, MT 59263

Phone

(406) 487-5911

Fax

(406) 487-5911

NPI assigned

Jan 22, 2007

Last updated

Mar 7, 2023By 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

Robert Paul Haugo, R.PH.

Title

President

Phone

(406) 487-5911

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235283128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "592631107",
            "telephone_number": "406-487-5911",
            "fax_number": "406-487-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN STREET",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "59263",
            "telephone_number": "406-487-5911",
            "fax_number": "406-487-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HAUGO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-487-5911",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "1125",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2702137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212121",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi Rath, PA-C
• Shirley Pearl Reller, P.T.
• Sarah Rayburn DMD PLLC (Scobey Dental)
• Kyle Schwartz
• Scobey Dental Inc.
• Hallie Lynne Wangerin
• Kimberly Wolfe, PMHNP-BC

• Community/Retail Pharmacy in Scobey, MT
• Providers in Scobey, 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 Mar 7, 2023; 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.