Active NPI
Kelly Jo Hasquet, PHARMD
- Geriatric Pharmacist
- Butte, MT
National Provider Identifier
1700562501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 54923
- Practice address
- 400 S Clark
Butte, MT 59701 - Phone
- (406) 723-2543
- NPI assigned
- Jun 26, 2023
- Last updated
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 54923 | MT | Primary |
Addresses
Primary practice location
400 S Clark
Butte, MT 59701
Mailing address
3517 White Way
Butte, MT 59701
Other practice location 1
1525 W Park ST
Anaconda, MT 59711
Phone (406) 563-8410
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54923 | MT | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Stokes Pharmacy Anaconda Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stokes Pharmacy Anaconda
- Community/Retail Pharmacy
- Anaconda, MT
- NPI 1740219765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1700562501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 WHITE WAY",
"city": "BUTTE",
"state": "MT",
"postal_code": "59701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S CLARK",
"city": "BUTTE",
"state": "MT",
"postal_code": "59701",
"telephone_number": "406-723-2543"
}
],
"practiceLocations": [
{
"address_1": "1525 W Park ST",
"address_purpose": "LOCATION",
"city": "Anaconda",
"state": "MT",
"postal_code": "59711",
"country_code": "US",
"telephone_number": "406-563-8410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASQUET",
"first_name": "KELLY",
"middle_name": "JO",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MT",
"license": "54923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.