Active NPI
Philip John Dunham, RPH
- Pharmacist
- Great Falls, MT
National Provider Identifier
1750721189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3186
- Practice address
- 2001 10TH Ave S
Great Falls, MT 59405-2756 - Phone
- (406) 453-1318
- Fax
- (406) 454-3982
- NPI assigned
- Jun 29, 2013
- Last updated
- Jun 29, 2013
- Sex
- Male
- 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 | 3186 | MT | Primary |
Addresses
Primary practice location
2001 10TH Ave S
Great Falls, MT 59405-2756
Mailing address
2020 13TH St SW
Great Falls, MT 59404-3418
Phone (406) 453-1318
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3186 | MT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana CVS Pharmacy LLC | Past | Accepting new patients | |
| Montana CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372464000000",
"number": "1750721189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 13TH ST SW",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594043418",
"telephone_number": "406-453-1318",
"fax_number": "406-454-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 10TH AVE S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594052756",
"telephone_number": "406-453-1318",
"fax_number": "406-454-3982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "PHILIP",
"middle_name": "JOHN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-29",
"last_updated": "2013-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "3186",
"primary": true
}
],
"identifiers": [],
"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 Jun 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.