Organization Active NPI

Ridgeway Pharmacy, LTD

  • Durable Medical Equipment & Medical Supplies
  • Victor, MT
National Provider Identifier
1700967288
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1119 Issued in MT
Legal business name
RIDGEWAY PHARMACY, LTD
Practice address
2824 Hwy 93 N.
Victor, MT 59875
Phone
(406) 642-6040
Fax
(406) 642-6050
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Mr. James Cloud, C.PH.T
Title
Owner
Phone
(406) 642-6040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1119 MT Primary
Mail Order Pharmacy 3336M0002X 1119 MT

Addresses

Primary practice location

2824 Hwy 93 N.
Victor, MT 59875

Mailing address

2824 Hwy 93 N.
Victor, MT 59875
Phone (406) 642-6040

Other identifiers 1

IdentifierTypeStateIssuer
2706488OtherMTNABP NUMBER

National Provider Directory

National Provider Directory

Locations

2824 US Highway 93 N
Victor, MT 59875
Phone (406) 642-6040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1700967288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 HWY 93 N.",
            "city": "VICTOR",
            "state": "MT",
            "postal_code": "59875",
            "telephone_number": "406-642-6040",
            "fax_number": "406-642-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 HWY 93 N.",
            "city": "VICTOR",
            "state": "MT",
            "postal_code": "59875",
            "telephone_number": "406-642-6040",
            "fax_number": "406-642-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWAY PHARMACY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-642-6040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PH.T"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "1119",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MT",
            "license": "1119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "2706488",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.