Active NPI
Peter D Wolfgram, RPH
- Pharmacist
- Butte, MT
National Provider Identifier
1861495673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2422
- Practice address
- 327 S Excelsior Ave
Butte, MT 59701-1536 - Phone
- (406) 723-3308
- Fax
- (406) 782-8243
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2422 | MT | Primary |
Addresses
Primary practice location
327 S Excelsior Ave
Butte, MT 59701-1536
Mailing address
2701 Sheepshank Dr
Belgrade, MT 59714-8801
Phone (406) 388-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2422 | MT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294444800000",
"number": "1861495673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 SHEEPSHANK DR",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597148801",
"telephone_number": "406-388-0333"
},
{
"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": {
"last_name": "WOLFGRAM",
"first_name": "PETER",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2011-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "2422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.