NPIMap

Organization Active NPI

Rose Osteopathic Clinic, Inc.

  • Specialty Pharmacy
  • St Ignatius, MT
National Provider Identifier
1619447109
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
ROSE OSTEOPATHIC CLINIC, INC.
Practice address
54699 Hillside Rd
St Ignatius, MT 59865-8915
Phone
(406) 745-0845
Fax
(406) 204-3238
NPI assigned
Nov 28, 2018
Last updated
Aug 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Dharma Rose, DO, MS, RPH, FAIHMNPI 1902842883
Title
President, Director
Phone
(406) 745-0845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

54699 Hillside Rd
St Ignatius, MT 59865-8915

Mailing address

54699 Hillside Rd
St Ignatius, MT 59865-8915
Phone (406) 745-0845

National Provider Directory

National Provider Directory
Tax ID family
Defrese Osteopathic Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1619447109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54699 HILLSIDE RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598658915",
            "telephone_number": "406-745-0845",
            "fax_number": "406-204-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54699 HILLSIDE RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598658915",
            "telephone_number": "406-745-0845",
            "fax_number": "406-204-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE OSTEOPATHIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DHARMA",
        "authorized_official_title_or_position": "PRESIDENT, DIRECTOR",
        "authorized_official_telephone_number": "406-745-0845",
        "authorized_official_credential": "DO, MS, RPH, FAIHM"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Ignatius, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.