Active NPI
Michelle Vincent, RPH
- Pharmacist
- Libby, MT
National Provider Identifier
1780014712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3646
- Practice address
- 703 W 9TH St
Libby, MT 59923-1632 - Phone
- (406) 293-7702
- Fax
- (406) 293-7703
- NPI assigned
- Nov 12, 2013
- 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 | 3646 | MT | Primary |
Addresses
Primary practice location
703 W 9TH St
Libby, MT 59923-1632
Mailing address
104 Michelle LN
Libby, MT 59923-3024
Phone (208) 755-1774
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 |
|---|---|---|---|
| 3646 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosauers Supermarkets Inc | Past | Accepting new patients | |
| Rosauers Supermarkets Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Libby, MT
- NPI 1871581207
-
- Community/Retail Pharmacy
- Ridgefield, WA
- NPI 1063055895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1780014712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MICHELLE LN",
"city": "LIBBY",
"state": "MT",
"postal_code": "599233024",
"telephone_number": "208-755-1774",
"fax_number": "406-293-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 W 9TH ST",
"city": "LIBBY",
"state": "MT",
"postal_code": "599231632",
"telephone_number": "406-293-7702",
"fax_number": "406-293-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "MICHELLE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "3646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.