Organization Active NPI

Mt Family RX Inc.

Doing business as Family Pharmacy

  • Community/Retail Pharmacy
  • Stevensville, MT
National Provider Identifier
1629724596
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MT FAMILY RX INC.
Doing business as
Family Pharmacy
Practice address
3804 Eastside Hwy
Stevensville, MT 59870-2224
Phone
(406) 777-5002
Fax
(406) 777-6924
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Mr. Levi Donald Shypkowski, PHARM.D.NPI 1528441664
Title
Pharmacist/ Owner
Phone
(406) 239-1277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3804 Eastside Hwy
Stevensville, MT 59870-2224

Mailing address

3804 Eastside Hwy
Stevensville, MT 59870-2224
Phone (406) 777-5002

Other names 1

  • Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220420003175 MT Part B Supplier - Mass Immunization (Roster Biller Only) 5193112167 Practice locations: Stevensville, MT
O20220721000141 MT DME Supplier - Pharmacy 5193112167 Practice locations: Stevensville, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2263304Mt Family RX Inc3804 Eastside Hwy, Stevensville, MT 59870Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1629724596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 EASTSIDE HWY",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702224",
            "telephone_number": "406-777-5002",
            "fax_number": "406-777-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 EASTSIDE HWY",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702224",
            "telephone_number": "406-777-5002",
            "fax_number": "406-777-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT FAMILY RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "SHYPKOWSKI",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PHARMACIST/ OWNER",
        "authorized_official_telephone_number": "406-239-1277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.