Active NPI
Brayden Michael Leake, PHARM.D.
- Pharmacist
- Superior, MT
National Provider Identifier
1336016971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA-PHA-LIC-117782
- Practice address
- 207 River St
PO Box 1157
Superior, MT 59872-9673 - Phone
- (406) 822-4681
- Fax
- (406) 822-0057
- NPI assigned
- Oct 20, 2025
- Last updated
- Oct 20, 2025
- Sex
- Male
- 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 | PHA-PHA-LIC-117782 | MT | Primary |
Addresses
Primary practice location
207 River St
PO Box 1157
Superior, MT 59872-9673
Mailing address
207 River St
PO Box 1157
Superior, MT 59872-9673
Phone (406) 822-4681
Other practice location 1
214 E Railroad Ave
Plains, MT 59859-7727
Phone (406) 826-3552
Other practice location 2
1221 Main St
Thompson Falls, MT 59873-9355
Phone (406) 827-4349
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA-PHA-LIC-117782 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plains Rexall Drug | Past | Accepting new patients | |
| Mineral Drug, Inc | Past | Accepting new patients | |
| Plains Drug Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1336016971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 RIVER ST",
"address_2": "PO BOX 1157",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "598729673",
"telephone_number": "406-822-4681",
"fax_number": "406-822-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 RIVER ST",
"address_2": "PO BOX 1157",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "598729673",
"telephone_number": "406-822-4681",
"fax_number": "406-822-0057"
}
],
"practiceLocations": [
{
"address_1": "214 E Railroad Ave",
"address_purpose": "LOCATION",
"city": "Plains",
"state": "MT",
"postal_code": "598597727",
"country_code": "US",
"telephone_number": "406-826-3552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 Main St",
"address_purpose": "LOCATION",
"city": "Thompson Falls",
"state": "MT",
"postal_code": "598739355",
"country_code": "US",
"telephone_number": "406-827-4349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEAKE",
"first_name": "BRAYDEN",
"middle_name": "MICHAEL",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "PHA-PHA-LIC-117782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.