Express Compounding, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

EXPRESS COMPOUNDING, LLC

Practice address

2086 US Highway 93 N Ste 110
Victor, MT 59875-9209

Phone

(406) 529-6182

NPI assigned

Sep 6, 2019

Organization subpart

No

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

Authorized official

Name

John Watt, RPH

Title

Pharmacist

Phone

(406) 529-6182

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnathan Watt

  • Pharmacist
  • Victor, MT
  • NPI 1487126991
  NPD

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1447809082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "CORVALLIS",
            "state": "MT",
            "postal_code": "598280538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 US HIGHWAY 93 N STE 110",
            "city": "VICTOR",
            "state": "MT",
            "postal_code": "598759209",
            "telephone_number": "406-529-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS COMPOUNDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "406-529-6182",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Bernauer, LCSW
• Rebecca J Conroy, FNP-BC
• Joyce E Defreest, P.T.
• Sheehan Ednie-Rosen, DEM, CPM
• Rene S Enebo, RPH
• Freedom & Wish, Inc.
• Rebecca A George, CMT, LMT
• Shannon Hochhalter
• Carolyn Louise Kenngott, M.A.,CCC,SLP
• Michael Allan Koning, MD

• All providers in Victor, MT
• Compounding Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.