Anderson Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHA-PHR-LIC32462 Issued in MT

Legal business name

ANDERSON FAMILY PHARMACY INC

Practice address

2828 10TH Ave S
Great Falls, MT 59405-3241

Phone

(406) 261-3102

Fax

(406) 216-3103

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Stuart Anderson

Title

Owner

Phone

(406) 216-3102

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• ANDERSON FAMILY PHARMACY Doing business as

Tax ID family

Anderson Family Pharmacy2 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.

• Anderson Family Pharmacy Inc

  • Long Term Care Pharmacy
  • Great Falls, MT
  • NPI 1619563996
  NPD tax ID

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1699786103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 10TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053241",
            "telephone_number": "406-261-3102",
            "fax_number": "406-216-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 10TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053241",
            "telephone_number": "406-261-3102",
            "fax_number": "406-216-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-216-3102"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "PHA-PHR-LIC32462",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000211633",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDERSON FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANDERSON FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Jean Ammondson, OTR
• Rachel E Amthor, MD
• Anchored PLLC
• Tamra Ann Anderegg, OTR/L
• Anderson Family Pharmacy Inc
• Lisa Rae Anderson Mangan, LCPC
• Alora D Anderson, AUD
• Amy Anderson
• David E Anderson, MD
• Eric J. Anderson, MD

• All providers in Great Falls, MT
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.