Northtown Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1232 Issued in MT

Legal business name

NORTHTOWN DRUG LLC

Doing business as

Northtown Drugs

Practice address

100 Main St
Shelby, MT 59474-1906

Phone

(406) 434-5115

Fax

(406) 434-2373

NPI assigned

Sep 25, 2006

Last updated

Mar 4, 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

Ann Clark, RPHNPI 1083202964

Title

Owner

Phone

(406) 434-5115

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• NORTHTOWN DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in MT2 enrollments

Enrollment records 2

Tax ID family

Northtown Drug LLC2 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.

• Northtown Drug LLC

  • Long Term Care Pharmacy
  • Shelby, MT
  • NPI 1043057961
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann M Clark

  • Pharmacist
  • Shelby, MT
  • NPI 1083202964
  NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1699875906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594740917",
            "telephone_number": "406-434-5115",
            "fax_number": "406-434-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741906",
            "telephone_number": "406-434-5115",
            "fax_number": "406-434-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHTOWN DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-434-5115",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "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": "1232",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049975",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699875906",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHTOWN DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHTOWN DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Meyer
• Stephen G Milheim, M.D.
• John Patrick Moore, D.D.S.
• My Hearing Centers, LLC
• Northtown Drug LLC
• Open Skies Counseling LLC
• Alyson Raph, FNP
• Ronald Ray, DNAP, CRNA, FNP, ENP
• Cole Joseph Rice, PHARMD
• Tracy L Richman, RN, CNM

• Community/Retail Pharmacy in Shelby, MT
• Providers in Shelby, 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 Mar 4, 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.