Active NPI
Chinook Pharmacy Inc
- Community/Retail Pharmacy
- Chinook, MT
National Provider Identifier
1780786129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CHINOOK PHARMACY INC
- Practice address
- 300 Indiana St
Chinook, MT 59523-0609 - Phone
- (406) 357-3333
- Fax
- (406) 357-3336
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Billmayer, PHARMD
- Title
- Owner
- Phone
- (406) 357-3333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
300 Indiana St
Chinook, MT 59523-0609
Mailing address
PO Box 609
Chinook, MT 59523-0609
Phone (406) 357-3333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780786129 | Medicaid | MT | |
| 2051853 | Other | PK | |
| 214669 | Medicaid | MT | |
| 5605223 | Medicaid | MT |
Other names 1
- CHINOOK PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041006 | MT | DME Supplier - Pharmacy | 1052423100 | Practice locations: Chinook, MT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Chinook Pharmacy | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ambulatory Care Pharmacist
- Chinook, MT
- NPI 1588181994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1780786129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 609",
"city": "CHINOOK",
"state": "MT",
"postal_code": "595230609",
"telephone_number": "406-357-3333",
"fax_number": "406-357-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 INDIANA ST",
"city": "CHINOOK",
"state": "MT",
"postal_code": "595230609",
"telephone_number": "406-357-3333",
"fax_number": "406-357-3336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHINOOK PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "BILLMAYER",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-357-3333",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780786129",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2051853",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214669",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5605223",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHINOOK PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CHINOOK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chinook, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.