Mining City Compounding Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21476 Issued in MT

Legal business name

MINING CITY COMPOUNDING PHARMACY LLC

Practice address

327 S Excelsior Ave
Butte, MT 59701-1536

Phone

(406) 723-3308

Fax

(406) 782-8243

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Authorized official

Name

Chad Oconnell

Title

Owner/Operator

Phone

(406) 723-3308

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Driscoll Drug Doing business as

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1831512342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S EXCELSIOR AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011536",
            "telephone_number": "406-723-3308",
            "fax_number": "406-782-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S EXCELSIOR AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011536",
            "telephone_number": "406-723-3308",
            "fax_number": "406-782-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINING CITY COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "OCONNELL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "406-723-3308"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "21476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Driscoll Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Rheann Miller, PTA
• Michelle J Miller, LCSW
• Mindful Development
• Mindful Path PLLC
• Mining City Compounding Pharmacy
• Mining City Lab Services
• Mining City Taxi
• Jennifer Marie Miranda, PHARM D.
• Matthew Mitchell, LCSW
• Richard John Mitchell, O.D.

• Community/Retail Pharmacy in Butte, MT
• Providers in Butte, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.