Thompson Falls Family Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THOMPSON FALLS FAMILY PHARMACY, INC

Practice address

1221 Main St
Thompson Falls, MT 59873-9355

Phone

(406) 827-4349

Fax

(406) 827-9640

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Andrea Ruth Holmes, RPHNPI 1386086452

Title

President/Pharmacist

Phone

(406) 827-4349

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT2 enrollments

Enrollment records 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Ruth Holmes, RPH

  • Pharmacist
  • Plains, MT
  • NPI 1386086452
  NPD Authorized official
• Alan Gravning, RPH

  • Pharmacist
  • Thompson Falls, MT
  • NPI 1033763305
  NPD (past)

These 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

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1801453097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598731059",
            "telephone_number": "406-827-4349",
            "fax_number": "406-827-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598739355",
            "telephone_number": "406-827-4349",
            "fax_number": "406-827-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON FALLS FAMILY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "406-827-4349",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHA-PHR-LIC-60614",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surpass Counseling Services LLC
• Ellen A Talboom, LCPC
• Jane E Taylor, PAC
• Thompson Falls Ambulance
• Thompson Falls Drugs LLC
• Thompson School District
• Chris L. Wagner, LCSW
• Woodland Addictions Counseling Services, LLC

• All providers in Thompson Falls, MT
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.

Verify at the official NPI Registry.