Gary and Leos Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1256 Issued in MT

Legal business name

GARY AND LEOS INC

Doing business as

Gary & Leo's Pharmacy
Health Mart

Practice address

730 1St St
Havre, MT 59501-3702

Phone

(406) 265-1229

Fax

(406) 265-3256

NPI assigned

Apr 10, 2008

Last updated

Oct 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Lee Malisani

Title

Secretary/Treasurer

Phone

(406) 399-0706

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 2

• Gary & Leo's Pharmacy Doing business as
• HEALTH MART Doing business as

Medicare fee-for-service enrollment

Enrolled in MT2 enrollments

Enrollment records 2

Tax ID family

Gary and Leos Inc2 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.

• Gary and Leos Inc

  dba Gary & Leo's Pharmacy

  • Community/Retail Pharmacy
  • Havre, MT
  • NPI 1013689660
  NPD tax ID

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1679746549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 1ST ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "59501",
            "telephone_number": "406-265-1229",
            "fax_number": "406-265-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 1ST ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013702",
            "telephone_number": "406-265-1229",
            "fax_number": "406-265-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY AND LEOS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "MALISANI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "406-399-0706"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679746549",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2052668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary & Leo's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTH MART",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTH MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Farmer, O.D.
• Michael Benjamin Farr, D.O.
• Kelley D Ferguson, LCPC
• Courtney L Funderburk
• Gary and Leos Inc (Gary & Leo's Pharmacy)
• Misty Geer, LCPC, LAC
• Gibson Chiropractic, Inc.
• Donald Joshua Gibson, D.C.
• Hugo Michael Gibson, D.C.
• Karen A Gibson, MS CCC/SLP

• Community/Retail Pharmacy in Havre, MT
• Providers in Havre, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.