Organization Active NPI

Family Health Pharmacy

  • Community/Retail Pharmacy
  • Ronan, MT
National Provider Identifier
1417055237
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1120 Issued in MT
Legal business name
FAMILY HEALTH PHARMACY
Doing business as
Family Health Pharmacy
Practice address
63307 US Highway 93S
Ronan, MT 59864
Phone
(406) 676-2111
Fax
(406) 676-2106
NPI assigned
Sep 20, 2006
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Shiree E Dupuis-Ryan, CPRT OWNER
Title
Owner/President
Phone
(406) 253-2551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1120 MT Primary

Addresses

Primary practice location

63307 US Highway 93S
Ronan, MT 59864

Mailing address

63307 US Highway 93S
Ronan, MT 59864
Phone (406) 676-2111

Other identifiers 2

IdentifierTypeStateIssuer
2704597OtherMTNCPDP/NABP #
214825MedicaidMT

Other names 1

  • FAMILY HEALTH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

63307 US Highway 93
Ronan, MT 59864
Phone (406) 676-2111

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1417055237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63307 US HIGHWAY 93S",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "59864",
            "telephone_number": "406-676-2111",
            "fax_number": "406-676-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63307 US HIGHWAY 93S",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "59864",
            "telephone_number": "406-676-2111",
            "fax_number": "406-676-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "DUPUIS-RYAN",
        "authorized_official_first_name": "SHIREE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "406-253-2551",
        "authorized_official_credential": "CPRT OWNER"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP/NABP #",
            "identifier": "2704597",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214825",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ronan, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.