NPIMap

Individual provider Active NPI

Nicole Marie Summerday, PHARM D

  • Ambulatory Care Pharmacist
  • Missoula, MT
National Provider Identifier
1780149526
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
6307 Issued in MT
Practice address
2831 Fort Missoula Rd Ste 101
Missoula, MT 59804-7401
Phone
(406) 327-4441
Fax
(495) 549-0084
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pharmacology Physician 208U00000X 6307 MT
Ambulatory Care Pharmacist 1835P2201X 6307 MT Primary

Addresses

Primary practice location

2831 Fort Missoula Rd Ste 101
Missoula, MT 59804-7401

Mailing address

2831 Fort Missoula Rd Ste 101
Missoula, MT 59804-7401
Phone (406) 327-4441

Other practice location 1

2230 N Reserve St Ste 402
Missoula, MT 59808-1364
Phone (406) 327-3850

Other names 1

  • Nicole Marie Rogers Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6307MTMDClinical Pharmacology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC Past Accepting new patients
RCHP Billings - Missoula 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1780149526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047401",
            "telephone_number": "406-327-4441",
            "fax_number": "406-549-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047401",
            "telephone_number": "406-327-4441",
            "fax_number": "495-549-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 N Reserve St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081364",
            "country_code": "US",
            "telephone_number": "406-327-3850",
            "fax_number": "406-327-3851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERDAY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "MT",
            "license": "6307",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MT",
            "license": "6307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ROGERS",
            "middle_name": "MARIE",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 20, 2020; 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.