Individual provider Active NPI

Sam Ashe

  • Pharmacist
  • Columbia Falls, MT
National Provider Identifier
1639508765
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3911 Issued in MT
Practice address
419 Nucleus Ave
Columbia Falls, MT 59912-4007
Phone
(406) 892-9088
Fax
(406) 892-9087
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3911 MT Primary

Addresses

Primary practice location

419 Nucleus Ave
Columbia Falls, MT 59912-4007

Mailing address

419 Nucleus Ave
Columbia Falls, MT 59912-4007
Phone (406) 892-9088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3911MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Beargrass Gift and Drug Current Accepting new patients
Smiths Food & Drug Centers Inc Past Accepting new patients
Smith's Food & Drug Centers Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1639508765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 NUCLEUS AVE",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599124007",
            "telephone_number": "406-892-9088",
            "fax_number": "406-892-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 NUCLEUS AVE",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599124007",
            "telephone_number": "406-892-9088",
            "fax_number": "406-892-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHE",
        "first_name": "SAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "3911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.