NPIMap

Organization Active NPI

Rosauers Food and Drug #27

  • Community/Retail Pharmacy
  • Missoula, MT
National Provider Identifier
1780135186
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA-PHA-LIC-5221 Issued in MT
Legal business name
ROSAUERS FOOD AND DRUG #27
Practice address
2350 S Reserve St
Missoula, MT 59801-6447
Phone
(406) 721-5330
Fax
(406) 721-4832
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Dr. Richard Allen Melvin, RPH, PHARM.D.
Title
Pharmacy Manager
Phone
(406) 721-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHA-PHA-LIC-5221 MT Primary

Addresses

Primary practice location

2350 S Reserve St
Missoula, MT 59801-6447

Mailing address

2350 S Reserve St
Missoula, MT 59801-6447
Phone (406) 721-5330

National Provider Directory

National Provider Directory
Tax ID family
Rosauers Pharmacy 2920 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1780135186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016447",
            "telephone_number": "406-721-5330",
            "fax_number": "406-721-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016447",
            "telephone_number": "406-721-5330",
            "fax_number": "406-721-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSAUERS FOOD AND DRUG #27",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "406-721-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH, PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "PHA-PHA-LIC-5221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.