NPIMap

Organization Active NPI

Pryor Health Station Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Pryor, MT
National Provider Identifier
1619007242
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
PRYOR HEALTH STATION PHARMACY
Practice address
Pryor Gap Rd
Pryor, MT 59066
Phone
(406) 259-8238
Fax
(406) 259-8290
NPI assigned
Mar 6, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Cynthia Larsen
Title
Area Business Office Coordinator
Phone
(406) 247-7184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

Pryor Gap Rd
Pryor, MT 59066

Mailing address

Pryor Gap Rd
PO Box 9
Pryor, MT 59066
Phone (406) 259-8238

Other identifiers 2

IdentifierTypeStateIssuer
2763084OtherNCPDP
2210000MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Blackfeet Community Hospital26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619007242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRYOR GAP RD",
            "address_2": "PO BOX 9",
            "city": "PRYOR",
            "state": "MT",
            "postal_code": "59066",
            "telephone_number": "406-259-8238",
            "fax_number": "406-259-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRYOR GAP RD",
            "city": "PRYOR",
            "state": "MT",
            "postal_code": "59066",
            "telephone_number": "406-259-8238",
            "fax_number": "406-259-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRYOR HEALTH STATION PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "AREA BUSINESS OFFICE COORDINATOR",
        "authorized_official_telephone_number": "406-247-7184"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2763084",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210000",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pryor, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.