Missoula Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1208 Issued in MT

Legal business name

MISSOULA PHARMACY INC

Doing business as

Missoula Pharmacy

Practice address

1211 S Reserve St
Ste 102
Missoula, MT 59801-3102

Phone

(406) 728-5650

Fax

(406) 728-9430

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Kristen Robbins, PHARMDNPI 1518039585

Title

Owner / Pic

Phone

(406) 728-5650

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MISSOULA PHARMACY Doing business as

Locations

Practitioners 3

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

• Kristen Joan Robbins, PHARMD

  • Pharmacist
  • Missoula, MT
  • NPI 1518039585
  NPD Authorized official
• Valarie D Ramsbacher, RPH

  • Pharmacist
  • Missoula, MT
  • NPI 1649342809
  NPD (past)
• Adrienne Sochia, PHARM.D

  • Pharmacist
  • Missoula, MT
  • NPI 1932034485
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1700998705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S RESERVE ST",
            "address_2": "STE 102",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013102",
            "telephone_number": "406-728-5650",
            "fax_number": "406-728-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S RESERVE ST",
            "address_2": "STE 102",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013102",
            "telephone_number": "406-728-5650",
            "fax_number": "406-728-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "406-728-5650",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2052601",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700998705",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSOULA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Missoula, MT
• Providers in Missoula, 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 Apr 15, 2024; 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.