Matovich Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHA-PHR-LIC-602 Issued in MT

Legal business name

MATOVICH ENTERPRISES INC

Practice address

133 N 5TH
Columbus, MT 59019

Phone

(406) 322-5652

Fax

(406) 322-4960

NPI assigned

Jan 8, 2007

Organization subpart

No

Name

Michael Matovich, RPHNPI 1598978165

Title

Owner

Phone

(406) 322-5652

Organizations that report the same tax identification number in the National Provider Directory.

• Matovich Enterprises Inc

  • Community/Retail Pharmacy
  • Columbus, MT
  • NPI 1669040135
  NPD tax ID

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

• Michael Robert Matovich, RPH

  • Pharmacist
  • Columbus, MT
  • NPI 1598978165
  NPD Authorized official
• Josh Fisher, PHARMD

  • Pharmacist
  • Columbus, MT
  • NPI 1477943611
  NPD (past)
• Lesli Goebel, RPH, PHARMD

  • Pharmacist
  • Billings, MT
  • NPI 1992927560
  NPD (past)
• Margaret Zoe Matchett, RPH

  • Pharmacist
  • Columbus, MT
  • NPI 1013428994
  NPD (past)
• Marcie Lynn Niebur, RPH

  • Pharmacist
  • Columbus, MT
  • NPI 1881871705
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MT2 enrollments

Tax ID family

Matovich Enterprises Inc (2 organizations share this tax ID)

Locations

• Stillwater Family Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2021.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1750439709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "COLUMBUS",
            "state": "MT",
            "postal_code": "590190719",
            "telephone_number": "406-322-5652",
            "fax_number": "406-322-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N 5TH",
            "city": "COLUMBUS",
            "state": "MT",
            "postal_code": "59019",
            "telephone_number": "406-322-5652",
            "fax_number": "406-322-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATOVICH ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "MATOVICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-322-5652",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "PHA-PHR-LIC-602",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050295",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212194",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stillwater Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian F Luepke, M.D.
• Valerie Maeker, OT
• Regina Mallory Mallory, LCSW
• Margaret Zoe Matchett, RPH
• Matovich Enterprises Inc
• Michael Robert Matovich, RPH
• Chris Ann McCann, MS, LAC, LCPC
• William Glenn Meredith, OTR/L, OTD
• Marcie Lynn Niebur, RPH
• Alta Peila, RD

• All providers in Columbus, MT
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.