Active NPI
406 RX PLLC
Doing business as Three Forks Family Pharmacy
- Community/Retail Pharmacy
- Three Forks, MT
National Provider Identifier
1477069193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- 406 RX PLLC
- Doing business as
- Three Forks Family Pharmacy
- Practice address
- 117 N Main St Ste a
Three Forks, MT 59752-9013 - Phone
- (406) 285-3883
- Fax
- (406) 285-3877
- NPI assigned
- Dec 18, 2017
- Last updated
- May 28, 2021
- 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
- Josh Fisher
- Title
- Owner/Partner
- Phone
- (406) 207-8043
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
117 N Main St Ste a
Three Forks, MT 59752-9013
Mailing address
PO Box 1469
Columbus, MT 59019-1469
Phone (406) 207-8043
Other names 1
- THREE FORKS FAMILY PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- 406 RX PLLC
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622160000000",
"number": "1477069193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1469",
"city": "COLUMBUS",
"state": "MT",
"postal_code": "590191469",
"telephone_number": "406-207-8043",
"fax_number": "406-285-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N MAIN ST STE A",
"city": "THREE FORKS",
"state": "MT",
"postal_code": "597529013",
"telephone_number": "406-285-3883",
"fax_number": "406-285-3877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "406 RX PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-18",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "JOSH",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "406-207-8043"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THREE FORKS FAMILY PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "THREE FORKS FAMILY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Three Forks, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.