Active NPI
William Jeffrey Skidmore, R.PH.
- Pharmacist
- Miles City, MT
National Provider Identifier
1659701647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3319
- Practice address
- 3408 Comstock St
Miles City, MT 59301-5745 - Phone
- (406) 951-0517
- NPI assigned
- Nov 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3319 | MT | Primary |
Addresses
Primary practice location
3408 Comstock St
Miles City, MT 59301-5745
Mailing address
PO Box 942
Miles City, MT 59301-0942
Phone (406) 951-0517
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3319 | MT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1659701647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 942",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593010942",
"telephone_number": "406-951-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 COMSTOCK ST",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593015745",
"telephone_number": "406-951-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIDMORE",
"first_name": "WILLIAM",
"middle_name": "JEFFREY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-12",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "3319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miles City, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.