Cameron Neiss, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PHA-PHA-LIC-62597 Issued in MT

Practice address

35401 Mission Dr
St Ignatius, MT 59865-7791

Phone

(406) 745-3525

Fax

(406) 226-2659

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1780214239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35401 MISSION DR",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598657791",
            "telephone_number": "406-745-3525",
            "fax_number": "406-226-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35401 MISSION DR",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598657791",
            "telephone_number": "406-745-3525",
            "fax_number": "406-226-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEISS",
        "first_name": "CAMERON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MT",
            "license": "PHA-PHA-LIC-62597",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-62597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Valley Health Clinic, Incorporated
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• Brenda Morton, RN
• Wendy Musser, RN
• Angela Nicolai, R.N.
• Karen Ann Nielson-Salois, PSYCHOLOGIST
• Starlite Y Nightgun, RN
• Kelsea Pelletier
• Ann Marie Penturf, DDS

• All providers in St Ignatius, MT
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.