Active NPI
Shelly Rae Cottrell, RPH
- Pharmacist
- Kalispell, MT
National Provider Identifier
1306199302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4943
- Practice address
- 2330 Hwy. 93 N
Kalispell, MT 59901 - Phone
- (406) 758-2528
- Fax
- (406) 758-2525
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4943 | MT | Primary |
Addresses
Primary practice location
2330 Hwy. 93 N
Kalispell, MT 59901
Mailing address
535 1St Ave W
Kalispell, MT 59901-4837
Phone (406) 250-4250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4943 | MT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1306199302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 1ST AVE W",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599014837",
"telephone_number": "406-250-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 HWY. 93 N",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-758-2528",
"fax_number": "406-758-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "SHELLY",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "4943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.