Individual provider Active NPI

Jenna Nicole Cragwick, RPH

  • Pharmacist
  • Butte, MT
National Provider Identifier
1326917816
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA-PHA-LIC-120642 Issued in MT
Practice address
310 W Front St
Butte, MT 59701-1296
Phone
(406) 221-3400
Fax
(406) 613-7272
NPI assigned
Nov 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA-PHA-LIC-120642 MT Primary

Addresses

Primary practice location

310 W Front St
Butte, MT 59701-1296

Mailing address

310 W Front St
Butte, MT 59701-1296
Phone (406) 221-3400

Other names 1

  • Jenna Nicole Juckes Other name

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

LicenseStateTypeSpecialty
PHA-PHA-LIC-120642MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc CurrentSince Nov 9, 2025 Accepting new patients
Safeway Inc PastSince Nov 9, 2025 Accepting new patients

Locations

310 W Front St
Butte, MT 59701
Phone (406) 221-3400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1326917816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W FRONT ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011296",
            "telephone_number": "406-221-3400",
            "fax_number": "406-613-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W FRONT ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011296",
            "telephone_number": "406-221-3400",
            "fax_number": "406-613-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGWICK",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-120642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "JUCKES",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.