Organization Active NPI

Neil W Donner

Doing business as Yellowstone Pharmacy

  • Community/Retail Pharmacy
  • Forsyth, MT
National Provider Identifier
1730125626
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
670 Issued in MT
Legal business name
NEIL W DONNER
Doing business as
Yellowstone Pharmacy
Practice address
1025 Main St
Forsyth, MT 59327
Phone
(406) 356-2134
Fax
(406) 346-2136
NPI assigned
Jun 21, 2006
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Neil Donner, RPH
Title
Owner
Phone
(406) 346-2134

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 670 MT Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

1025 Main St
Forsyth, MT 59327

Mailing address

PO Box 289
Forsyth, MT 59327-0289
Phone (406) 346-2134

Other identifiers 2

IdentifierTypeStateIssuer
0000219466MedicaidMT
2049904OtherPK

Other names 1

  • YELLOWSTONE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1730125626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593270289",
            "telephone_number": "406-346-2134",
            "fax_number": "406-346-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAIN ST",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "59327",
            "telephone_number": "406-356-2134",
            "fax_number": "406-346-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL W DONNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-346-2134",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "670",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000219466",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YELLOWSTONE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forsyth, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.