Active NPI
Corey Robert Heffernan, PHARM D.
- Pharmacist
- Lolo, MT
National Provider Identifier
1467738849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5859
- Practice address
- 103 Glacier Dr
Lolo, MT 59847-8700 - Phone
- (406) 273-2322
- Fax
- (406) 273-4208
- NPI assigned
- Oct 28, 2011
- Last updated
- Jul 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5859 | MT | Primary |
Addresses
Primary practice location
103 Glacier Dr
Lolo, MT 59847-8700
Mailing address
103 Glacier Dr
Lolo, MT 59847-8700
Phone (406) 273-2322
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5859 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heffernan Drug Inc | Current | Accepting new patients | |
| Heffernan Drug Inc | Current | Accepting new patients |
Locations
103 Glacier Dr
Lolo, MT 59847
Phone (406) 273-2322
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1467738849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GLACIER DR",
"city": "LOLO",
"state": "MT",
"postal_code": "598478700",
"telephone_number": "406-273-2322",
"fax_number": "406-273-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GLACIER DR",
"city": "LOLO",
"state": "MT",
"postal_code": "598478700",
"telephone_number": "406-273-2322",
"fax_number": "406-273-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFERNAN",
"first_name": "COREY",
"middle_name": "ROBERT",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-28",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "5859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lolo, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.