South Hills Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

20376 Issued in MT

Legal business name

SOUTH HILLS PHARMACY INC

Doing business as

South Hills Pharmacy Inc

Practice address

2600 Winne Ave
Helena, MT 59601-4900

Phone

(406) 443-2540

Fax

(406) 443-2071

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Ron Bergum

Title

President

Phone

(406) 443-2540

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SOUTH HILLS PHARMACY INC Doing business as

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1639190689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6487",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596046487",
            "telephone_number": "406-443-2540",
            "fax_number": "406-443-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WINNE AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014900",
            "telephone_number": "406-443-2540",
            "fax_number": "406-443-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "BERGUM",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-443-2540"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MT",
            "license": "20376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000129047",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2052587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH HILLS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonheaven Assisted Living
• Tristan Sophia, PSYD
• Jerry Dean Sorensen, PT
• South Hills Dental
• South Hills Internal Medicine Associates PLLP
• Angelo Spado, LCPC
• Austen Chantal Sparrow, PA-C
• Kristy Kay Spaulding, FNP, PMHNP, BC
• Specialized Medicial Inc.
• Sharon Jane Speck, LCSW

• Long Term Care Pharmacy in Helena, MT
• Providers in Helena, MT by specialty
• Long Term Care Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.