Culbertson Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1012 Issued in MT

Legal business name

CULBERTSON PHARMACY INC

Practice address

115 Broadway
Culbertson, MT 59218-0311

Phone

(406) 787-5313

Fax

(406) 787-5813

NPI assigned

Sep 5, 2006

Last updated

Jun 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Brisben, RPH

Title

Owner

Phone

(406) 787-5313

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1598867939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 311",
            "city": "CULBERTSON",
            "state": "MT",
            "postal_code": "59218",
            "telephone_number": "406-787-5313",
            "fax_number": "406-787-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROADWAY",
            "city": "CULBERTSON",
            "state": "MT",
            "postal_code": "592180311",
            "telephone_number": "406-787-5313",
            "fax_number": "406-787-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULBERTSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "BRISBEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-787-5313",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1012",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 406 RX, PLLC (Culbertson Family Pharmacy)
• Culbertson Froid Bainville Health Care Corporation (Roosevelt Medical Center)
• Culbertson Froid Bainville Health Care Corporation (Roosevelt Medical Center)
• Culbertson Froid Bainville Healthcare Corporation (Roosevelt Medical Clinic)
• Culbertson Froid Bainville Healthcare Corporation (Roosevelt Memorial Medical Center)
• Don Helland, MD
• Jocelyn Marie Klein, NP
• Elizabeth Ellen Kleppen, RN, PA-C

• Community/Retail Pharmacy in Culbertson, MT
• Providers in Culbertson, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.