Wolves Den Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WOLVES DEN PHARMACY INC

Practice address

99 Central Ave
Stanford, MT 59479-9582

Phone

(406) 378-5588

Fax

(406) 378-5088

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Weaver, PHARMDNPI 1821545328

Title

Owner/Pharmacist

Phone

(406) 378-5588

Specialties & licenses 3

Addresses

Other names 1

• Wolves Den Phamracy Doing business as

Medicare fee-for-service enrollment

Enrolled in MT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Danielle Weaver, RPH, PHARMD, MBA

  • Pharmacist
  • Big Sandy, MT
  • NPI 1821545328

  Pharmacy

  NPD Authorized official
• Jeri Skelton, PHARMD

  • Pharmacist
  • Great Falls, MT
  • NPI 1790297356
  NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1750089686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "BIG SANDY",
            "state": "MT",
            "postal_code": "595200321",
            "telephone_number": "406-378-5588",
            "fax_number": "406-378-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CENTRAL AVE",
            "city": "STANFORD",
            "state": "MT",
            "postal_code": "594799582",
            "telephone_number": "406-378-5588",
            "fax_number": "406-378-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLVES DEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "406-378-5588",
        "authorized_official_name_prefix": "Dr.",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolves Den Phamracy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Berg
• Central Montana Community Health Center, Inc.
• County of Judith Basin
• Little Belt Home Care Services
• Amber Adele Milburn, DC

• Community/Retail Pharmacy in Stanford, MT
• Providers in Stanford, 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 Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.