NPIMap

Organization Active NPI

Pamida Stores Operating Co LLC

  • Community/Retail Pharmacy
  • Columbia Falls, MT
National Provider Identifier
1497709281
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1201 Issued in MT
Legal business name
PAMIDA STORES OPERATING CO LLC
Practice address
900 1St Ave W
Columbia Falls, MT 59912-4025
Phone
(406) 892-2860
Fax
(406) 892-2863
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Mr. John Harlow
Title
Ceo/President
Phone
(402) 596-7206

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 1201 MT Primary

Addresses

Primary practice location

900 1St Ave W
Columbia Falls, MT 59912-4025

Mailing address

900 1St Ave W
Columbia Falls, MT 59912-4025
Phone (406) 892-2860

Other identifiers 2

IdentifierTypeStateIssuer
1497709281MedicaidMT
2782604OtherNCPDP

Other names 1

  • Pamida Pharmacy 127 Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1497709281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 1ST AVE W",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599124025",
            "telephone_number": "406-892-2860",
            "fax_number": "406-892-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 1ST AVE W",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599124025",
            "telephone_number": "406-892-2860",
            "fax_number": "406-892-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMIDA STORES OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "HARLOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "402-596-7206",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "MT",
            "license": "1201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497709281",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2782604",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamida Pharmacy 127",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.