Active NPI
Family Health Pharmacy
- Community/Retail Pharmacy
- Ronan, MT
National Provider Identifier
1417055237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1120
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2704597 | Other | MT | NCPDP/NABP # |
| 214825 | Medicaid | MT |
Other names 1
- FAMILY HEALTH PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Ronan, MT
- NPI 1376376723
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.