James W Normark, RPH
Individual provider Active NPI Pharmacist · Seeley Lake, MT
NPI 1265434278 · NPPES record last updated Oct 28, 2009
Key facts
- NPI
- 1265434278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6954 (MT)
- Practice address
- 264 Peacemaker PL
Seeley Lake, MT 59868-1123 - Phone
- (406) 210-2471
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5649 | ID | MD | Pharmacist |
| 6954 | MT | MD | Pharmacist |
| 3258 | ND | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P5649 | ID | |
| Pharmacist | 183500000X | 3258 | ND | |
| Pharmacist | 183500000X | 6954 | MT | Yes |
Addresses
Primary practice location
264 Peacemaker PL
Seeley Lake, MT 59868-1123
Mailing address
PO Box 1123
264 Peacemaker Place
Seeley Lake, MT 59868-1123
Phone (406) 210-2471
Other providers in Seeley Lake, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.