Pamida Stores Operating Co., LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PAMIDA STORES OPERATING CO., LLC

Practice address

136 McLeod
Big Timber, MT 59011

Phone

(406) 932-5316

NPI assigned

Jun 24, 2008

Organization subpart

No

Name

Mr. John Harlow

Title

Ceo/President

Phone

(402) 596-7206

Organizations this organization is a member of, according to the National Provider Directory.

• Shopko Stores Operating Co LLC

  • Community/Retail Pharmacy
  • Afton, WY
  • NPI 1891971719

  Member Of

  NPD member

• Pamida Pharmacy #690 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2009.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1669633491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MCLEOD",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "59011",
            "telephone_number": "406-932-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MCLEOD",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "59011",
            "telephone_number": "406-932-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMIDA STORES OPERATING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "HARLOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "402-596-7206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "1268",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2783416",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamida Pharmacy #690",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle M Lizotte, MD
• Kay McDonnell, LCSW, LAC
• Linda June Melvin, LMFT
• My Hearing Centers, LLC
• Amber Overstreet, LCPC
• Keith E Pendill, LAC
• Pioneer Medical Center
• Pioneer Medical Center
• Pioneer Medical Center
• Pioneer Medical Center

• All providers in Big Timber, MT
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.