Active NPI
Terry L. Whitecotton, RPH
- Pharmacist
- Polson, MT
National Provider Identifier
1669986261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47492
- Practice address
- 5 4TH Ave E
Polson, MT 59860 - Phone
- (406) 745-3525
- Fax
- (406) 745-3529
- NPI assigned
- Nov 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 47492 | MT | Primary |
Addresses
Primary practice location
5 4TH Ave E
Polson, MT 59860
Mailing address
P.O. Box 880
St. Ignatius, MT 59865
Phone (406) 745-3525
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 |
|---|---|---|---|
| 47492 | MT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1669986261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 880",
"city": "ST. IGNATIUS",
"state": "MT",
"postal_code": "59865",
"telephone_number": "406-745-3525",
"fax_number": "406-745-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 4TH AVE E",
"city": "POLSON",
"state": "MT",
"postal_code": "59860",
"telephone_number": "406-745-3525",
"fax_number": "406-745-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITECOTTON",
"first_name": "TERRY",
"middle_name": "L.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "47492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Polson, MT
- Erika Ann Weber, LCSW
- Western Montana Area 6 Agency on Aging
- Western Montana Clinic PC
- Western Montana Mental Health Center
- Oliver Mayhew Whipple III, D.C.
- Dustyn Whitesel, MD
- Wholeness in Health House-Call Clinic LLC
- Wild Hare Wellness
- Christopher Ross Williams, MD
- Elizabeth Rae Susanne Williams, CLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.