Individual provider Active NPI

Ashley R Vandewark, RPH

  • Ambulatory Care Pharmacist
  • Hardin, MT
National Provider Identifier
1538701339
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
PHA-PHA-LIC-62957 Issued in MT
Practice address
10 4TH St W
Hardin, MT 59034-1802
Phone
(406) 208-4925
NPI assigned
Oct 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X PHA-PHA-LIC-62957 MT Primary

Addresses

Primary practice location

10 4TH St W
Hardin, MT 59034-1802

Mailing address

RR 1 Box 1010
Hardin, MT 59034-9707
Phone (406) 867-4141

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

LicenseStateTypeSpecialty
PHA-PHA-LIC-62957MTMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1538701339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1010",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590349707",
            "telephone_number": "406-867-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 4TH ST W",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590341802",
            "telephone_number": "406-208-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWARK",
        "first_name": "ASHLEY",
        "middle_name": "R",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MT",
            "license": "PHA-PHA-LIC-62957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardin, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.