VDV Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1054 Issued in MT

Legal business name

VDV INC

Doing business as

Valley Drug & Variety

Practice address

301 Main St
Stevensville, MT 59870-2531

Phone

(406) 777-5591

Fax

(406) 777-5150

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Dan L Severson, R. PH,

Title

President

Phone

(406) 777-5591

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Valley Drug & Variety Doing business as

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1841355229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702531",
            "telephone_number": "406-777-5591",
            "fax_number": "406-777-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702531",
            "telephone_number": "406-777-5591",
            "fax_number": "406-777-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-777-5591",
        "authorized_official_credential": "R. PH,"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "1054",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1054",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MT",
            "license": "1054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2702240",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230542",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Drug & Variety",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Christian Traver, DPT, MBA
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• Arayna Nicole Tucker, DPT
• Valley Drug Inc
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• Debbie Welch, NP-C
• Well Kneaded Massage, Inc
• Western Health Care Inc.

• Community/Retail Pharmacy in Stevensville, MT
• Providers in Stevensville, 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 Jul 8, 2015; 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.