Active NPI
Jimmie Ann Henry
- Pharmacist
- Great Falls, MT
National Provider Identifier
1740756535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3973
- Practice address
- 401 Northwest Byp
Great Falls, MT 59404-4124 - Phone
- (406) 453-3466
- Fax
- (406) 453-3468
- NPI assigned
- Oct 18, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3973 | MT | Primary |
Addresses
Primary practice location
401 Northwest Byp
Great Falls, MT 59404-4124
Mailing address
401 Northwest Byp
Great Falls, MT 59404-4124
Phone (406) 453-3466
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3979 | Other | MT | PHARMACIST LICENCE |
| 0310903856 | Other | MT | HPSO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3973 | MT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1740756535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 NORTHWEST BYP",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594044124",
"telephone_number": "406-453-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NORTHWEST BYP",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594044124",
"telephone_number": "406-453-3466",
"fax_number": "406-453-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "JIMMIE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-18",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "3973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENCE",
"identifier": "3979",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPSO",
"identifier": "0310903856",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.