Organization Active NPI

Stokes Pharmacy Anaconda Inc

  • Community/Retail Pharmacy
  • Anaconda, MT
National Provider Identifier
1740219765
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAPHRLIC28358 Issued in MT
Legal business name
STOKES PHARMACY ANACONDA INC
Practice address
1525 W Park Ave
Anaconda, MT 59711-1829
Phone
(406) 563-8410
Fax
(406) 563-8438
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
John Stokes
Title
President
Phone
(208) 808-4489

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHAPHRLIC28358 MT Primary

Addresses

Primary practice location

1525 W Park Ave
Anaconda, MT 59711-1829

Mailing address

1525 W Park Ave
Anaconda, MT 59711-1829
Phone (406) 563-8410

Other identifiers 2

IdentifierTypeStateIssuer
1740219765MedicaidMT
2150584OtherPK

Other names 1

  • Stokes Pharmacy Anaconda Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040819001277 TX Part B Supplier - Centralized Flu Biller 8628980299 This NPI is an additional NPI on the enrollment
Practice locations: Boise, ID
O20150730011727 MT Part B Supplier - Mass Immunization (Roster Biller Only) 5294049615 Practice locations: Anaconda, MT

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1525 W Park Ave
Anaconda, MT 59711
Phone (406) 563-5383

Practitioners & affiliated clinicians

Practitioners 6

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1740219765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111829",
            "telephone_number": "406-563-8410",
            "fax_number": "406-563-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111829",
            "telephone_number": "406-563-8410",
            "fax_number": "406-563-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOKES PHARMACY ANACONDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-808-4489"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "PHAPHRLIC28358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740219765",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stokes Pharmacy Anaconda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaconda, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.