Active NPI
Jeremy Aaron Otteson, PHARMD
- Pharmacist
- Helena, MT
National Provider Identifier
1861777476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5443
- Practice address
- 1150 11TH Ave
Helena, MT 59601-3838 - Phone
- (406) 442-1265
- Fax
- (406) 442-6417
- NPI assigned
- Oct 14, 2011
- 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 | 5443 | MT | Primary |
Addresses
Primary practice location
1150 11TH Ave
Helena, MT 59601-3838
Mailing address
1150 11TH Ave
Helena, MT 59601-3838
Phone (406) 442-1265
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5443 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1861777476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 11TH AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596013838",
"telephone_number": "406-442-1265",
"fax_number": "406-442-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 11TH AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596013838",
"telephone_number": "406-442-1265",
"fax_number": "406-442-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTESON",
"first_name": "JEREMY",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "5443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.