Mineral Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

49935 Issued in MT

Legal business name

MINERAL PHARMACY INC

Doing business as

Mineral Pharmacy Inc

Practice address

207 River St
Superior, MT 59872-9673

Phone

(406) 822-4681

Fax

(406) 822-0057

NPI assigned

Sep 5, 2006

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Burnett

Title

Owner/VP

Phone

(406) 822-4681

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MINERAL PHARMACY INC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mason Luce

  • Pharmacist
  • Plains, MT
  • NPI 1326912775
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1871695213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 RIVER ST",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598729673",
            "telephone_number": "406-822-4681",
            "fax_number": "406-822-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 RIVER ST",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598729673",
            "telephone_number": "406-822-4681",
            "fax_number": "406-822-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/VP",
        "authorized_official_telephone_number": "406-822-4681"
    },
    "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": "49935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871695213",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050377",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINERAL PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linea Maxwell, LCSW
• Stewart Andrew McCracken, LAC
• Lawana V McGuffey, ACLC, SWLC, MSW
• Jenny Lynn Miller, LAC-BBH-LAC-LIC-4969
• Mineral Drug, Inc (Mineral Pharmacy)
• Mineral Regional Health Center Inc.
• Missoula Community Health Services, Inc (Mineral Community Hospital Clinic)
• Missoula Community Health Services, Inc (Tamarack Medical Clinic)
• Missoula Community Health Services, Inc (Mineral Community Hospital)
• Missoula Community Health Services, Inc. (Mineral Community Hospital)

• Community/Retail Pharmacy in Superior, MT
• Providers in Superior, 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 19, 2018; 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.