Active NPI
David Hernandez Angeles, RPH
- Pharmacist
- Great Falls, MT
National Provider Identifier
1477085876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39711
- Practice address
- 1414 3Rd St NW
Great Falls, MT 59404-1928 - Phone
- (406) 761-8420
- Fax
- (406) 727-0336
- NPI assigned
- Apr 3, 2017
- 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 | 39711 | MT | Primary |
Addresses
Primary practice location
1414 3Rd St NW
Great Falls, MT 59404-1928
Mailing address
3205 13TH Ave S
Great Falls, MT 59405-5460
Phone (406) 453-5060
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39711 | MT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1477085876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 13TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055460",
"telephone_number": "406-453-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 3RD ST NW",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594041928",
"telephone_number": "406-761-8420",
"fax_number": "406-727-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ ANGELES",
"first_name": "DAVID",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "39711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.