Granite Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1316 Issued in MT

Legal business name

GRANITE PHARMACY LLC

Doing business as

Granite Pharmacy
Granite Pharmacy Philipsburg

Practice address

107 S Holland St
Philipsburg, MT 59858-7609

Phone

(406) 859-3784

Fax

(406) 859-4412

NPI assigned

Sep 9, 2010

Last updated

Jun 29, 2026By 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

Tina Koerner

Title

President

Phone

(406) 926-2941

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• Granite Pharmacy Doing business as
• Granite Pharmacy Philipsburg Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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.

• Robert Eric Beyer, RPH

  • Pharmacist
  • Missoula, MT
  • NPI 1609939941
  NPD (past)

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1417264649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 27TH AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045126",
            "telephone_number": "406-926-2941",
            "fax_number": "844-589-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S HOLLAND ST",
            "city": "PHILIPSBURG",
            "state": "MT",
            "postal_code": "598587609",
            "telephone_number": "406-859-3784",
            "fax_number": "406-859-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "KOERNER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-926-2941"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1316",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417264649",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granite Pharmacy Philipsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Granite Cnty Med Hosp Phcy (Granite County Medical Hospital Pharmacy)
• Granite County Hospital District
• Granite County Hospital District
• Granite County Hospital District
• Granite County Hospital District
• Granite Public Safety Corporation
• Kimberly Anne Hendl, APRN
• Mesa Spring Meng
• Scott Jeffrey Miner
• David Michael Neill, PA-C

• Community/Retail Pharmacy in Philipsburg, MT
• Providers in Philipsburg, 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 Jun 29, 2026; 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.