NPIMap

Organization Active NPI

Vendor Pro Corporation

  • Pharmacy
  • Bozeman, MT
National Provider Identifier
1639589690
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHA-WDD-LIC-21852 Issued in MT
Legal business name
VENDOR PRO CORPORATION
Practice address
804 N 19TH Ave
Suite 2B
Bozeman, MT 59718-6928
Phone
(866) 743-8396
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Tyler D Bohannon
Title
President
Phone
(866) 743-8396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHA-WDD-LIC-21852 MT Primary

Addresses

Primary practice location

804 N 19TH Ave
Suite 2B
Bozeman, MT 59718-6928

Mailing address

804 N 19TH Ave
Suite 2B
Bozeman, MT 59718-6928
Phone (866) 743-8396

National Provider Directory

National Provider Directory
Tax ID family
Vendor Pro Corporation2 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.

Locations

804 N 19th Ave
Ste 2B
Bozeman, MT 59718
Phone (866) 743-8396

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1639589690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N 19TH AVE",
            "address_2": "SUITE 2B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186928",
            "telephone_number": "866-743-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N 19TH AVE",
            "address_2": "SUITE 2B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186928",
            "telephone_number": "866-743-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENDOR PRO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-743-8396"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MT",
            "license": "PHA-WDD-LIC-21852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.