Active NPI
Superior Specialty Pharmacy of Montana, LLC
- General Practice Physician
- Helena, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SUPERIOR SPECIALTY PHARMACY OF MONTANA, LLC
- Practice address
- 630 N Last Chance Gulch
Ste 1100 Room 1111
Helena, MT 59601-3551 - Phone
- (406) 752-0440
- NPI assigned
- Jul 28, 2025
- Last updated
- Apr 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Peacock, VA
- Title
- General Manager
- Phone
- (406) 752-0440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | NU | ||
| General Practice Physician | 208D00000X | NU | Primary | |
| Home Infusion Therapy Pharmacy | 3336H0001X | NU |
Addresses
Primary practice location
630 N Last Chance Gulch
Ste 1100 Room 1111
Helena, MT 59601-3551
Mailing address
630 N Last Chance Gulch Ste 1100
Ste 1100 Room 1111
Helena, MT 59601-3551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250930002897 | MT | Part B Supplier - Clinic/Group Practice | 8628279635 |
Receives reassigned benefits from 2 practitioners Practice locations: Helena, MT; Kalispell, MT |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Big Sky I.V. Care
- Home Infusion Therapy Pharmacy
- Kalispell, MT
- NPI 1760576714
8628279635
National Provider Directory
National Provider Directory- Tax ID family
- Superior Specialty Pharmacy of Montana LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Big Sky Specialty Compounding
- Compounding Pharmacy
- Kalispell, MT
- NPI 1679977433
-
dba Big Sky I.V. Care
- Home Infusion Therapy Pharmacy
- Kalispell, MT
- NPI 1760576714
Locations
630 N Last Chance Gulch
Helena, MT 59601
Phone (406) 442-8508
630 N Last Chance Gulch
Ste 1100
Helena, MT 59601
Phone (406) 646-2522
20 Four Mile Dr
Ste 3
Kalispell, MT 59901
Phone (406) 752-0440
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.
-
- Family Nurse Practitioner
- Kalispell, MT
- NPI 1598554826
-
- Pharmacist
- Kalispell, MT
- NPI 1376845362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1285517268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 N LAST CHANCE GULCH STE 1100",
"address_2": "STE 1100 ROOM 1111",
"city": "HELENA",
"state": "MT",
"postal_code": "596013551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N LAST CHANCE GULCH",
"address_2": "STE 1100 ROOM 1111",
"city": "HELENA",
"state": "MT",
"postal_code": "596013551",
"telephone_number": "406-752-0440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR SPECIALTY PHARMACY OF MONTANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-28",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "PEACOCK",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "406-752-0440",
"authorized_official_credential": "VA"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.