Active NPI
Richard D Kalanick, RPH
- Pharmacist
- Lewistown, MT
National Provider Identifier
1396055562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3475
- Practice address
- 117 W Janeaux St
Lewistown, MT 59457-3073 - Phone
- (406) 538-6674
- NPI assigned
- Oct 20, 2010
- Last updated
- Oct 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3199 | WY | |
| Pharmacist | 183500000X | 3475 | MT | Primary |
Addresses
Primary practice location
117 W Janeaux St
Lewistown, MT 59457-3073
Mailing address
PO Box 297
Big Sandy, MT 59520-0297
Phone (406) 390-0566
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 |
|---|---|---|---|
| 3475 | MT | MD | Pharmacist |
| 3199 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1396055562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 297",
"city": "BIG SANDY",
"state": "MT",
"postal_code": "595200297",
"telephone_number": "406-390-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W JANEAUX ST",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594573073",
"telephone_number": "406-538-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALANICK",
"first_name": "RICHARD",
"middle_name": "D",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-20",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3199",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "3475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.