NPIMap

Organization Active NPI

KC's Western Drug

Doing business as Gardiner Pharmacy

  • Community/Retail Pharmacy
  • Gardiner, MT
National Provider Identifier
1235534561
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KC'S WESTERN DRUG
Doing business as
Gardiner Pharmacy
Practice address
208 Park St
Gardiner, MT 59030-7735
Phone
(406) 848-9430
NPI assigned
Oct 29, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Kari W Vondra
Title
Owner
Phone
(406) 222-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

208 Park St
Gardiner, MT 59030-7735

Mailing address

208 Park St
Gardiner, MT 59030-7735
Phone (406) 848-9430

Other names 1

  • Gardiner Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gardiner Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1235534561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PARK ST",
            "city": "GARDINER",
            "state": "MT",
            "postal_code": "590307735",
            "telephone_number": "406-848-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PARK ST",
            "city": "GARDINER",
            "state": "MT",
            "postal_code": "590307735",
            "telephone_number": "406-848-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC'S WESTERN DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "VONDRA",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-222-7332"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardiner Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardiner, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.