Red Lodge Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1249 Issued in MT

Legal business name

RED LODGE DRUG CO INC

Practice address

211 N Broadway Ave
Red Lodge, MT 59068-9132

Phone

(406) 446-1017

Fax

(406) 446-2516

NPI assigned

Oct 10, 2006

Last updated

Oct 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig C Erickson, RPHNPI 1104422849

Title

President

Phone

(406) 446-1017

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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.

• Craig C Erickson

  • Pharmacist
  • Red Lodge, MT
  • NPI 1104422849
  NPD Authorized official
• Shirley A Erickson, RPH

  • Pharmacist
  • Red Lodge, MT
  • NPI 1407455454
  NPD
• Kayla Marie Briggs, PHARMD

  • Pharmacist
  • Red Lodge, MT
  • NPI 1942873872
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1346338936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590681030",
            "telephone_number": "406-446-1017",
            "fax_number": "406-446-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY AVE",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590689132",
            "telephone_number": "406-446-1017",
            "fax_number": "406-446-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED LODGE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-446-1017",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000560144",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000236327",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Picasso Health & Nutrition
• Therese Picasso-Edwards, RD
• Fred Wayne Pickering, DO
• Kathleen Quinn Porco, MS, CDCES, NBC-HWC
• Amy Nicole Puett, PT
• Red Lodge Public Schools
• Red Lodge Public Schools
• Red Lodge Rural Fire District 7
• Redbarn Counseling and Consultation
• Kelly A Reynolds, DDS

• Community/Retail Pharmacy in Red Lodge, MT
• Providers in Red Lodge, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.

Verify at the official NPI Registry.