NPIMap

Organization Active NPI

Mt State Veterans Home Satelite Pharmacy

  • Long Term Care Pharmacy
  • Columbia Falls, MT
National Provider Identifier
1790804557
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1195 Issued in MT
Legal business name
MT STATE VETERANS HOME SATELITE PHARMACY
Practice address
400 Veterans Dr
Columbia Falls, MT 59912-5505
Phone
(406) 892-3256
Fax
(406) 892-0256
NPI assigned
Mar 29, 2007
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Mrs. Aleasha Martin
Title
Facility Reimbursement Manager
Phone
(406) 444-3416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 1195 MT Primary

Addresses

Primary practice location

400 Veterans Dr
Columbia Falls, MT 59912-5505

Mailing address

111 N Sanders St
Helena, MT 59601-4520
Phone (406) 444-3416

Other identifiers 2

IdentifierTypeStateIssuer
1195OtherMTSTATE OF MT LICENSE NUMBE
2783048OtherMTNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Jay Crowder MD12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

111 N Sanders St
Helena, MT 59601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1790804557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N SANDERS ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014520",
            "telephone_number": "406-444-3416",
            "fax_number": "406-444-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VETERANS DR",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599125505",
            "telephone_number": "406-892-3256",
            "fax_number": "406-892-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT STATE VETERANS HOME SATELITE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ALEASHA",
        "authorized_official_title_or_position": "FACILITY REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "406-444-3416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MT",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MT LICENSE NUMBE",
            "identifier": "1195",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2783048",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.