Active NPI
Clinic United Pharmacy, Inc.
- Community/Retail Pharmacy
- Great Falls, MT
National Provider Identifier
1891869319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1245
- Legal business name
- CLINIC UNITED PHARMACY, INC.
- Practice address
- 1400 29TH St S
Great Falls, MT 59405-5353 - Phone
- (406) 771-3399
- Fax
- (406) 727-4399
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Levandowski, RPH
- Title
- President
- Phone
- (406) 771-3399
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1245 | MT | Primary |
Addresses
Primary practice location
1400 29TH St S
Great Falls, MT 59405-5353
Mailing address
PO Box 7213
Great Falls, MT 59406-7213
Phone (406) 771-3399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2050289 | Other | PK | |
| 0000211627 | Medicaid | MT |
Other names 1
- CLINIC PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930027607 | MT | DME Supplier - Pharmacy | 7719007228 | Practice locations: Great Falls, MT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Clinic Pharmacy | Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Clinic Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Great Falls, MT
- NPI 1073628012
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Great Falls, MT
- NPI 1245763481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459296000000",
"number": "1891869319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7213",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594067213",
"telephone_number": "406-771-3399",
"fax_number": "406-727-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 29TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055353",
"telephone_number": "406-771-3399",
"fax_number": "406-727-4399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINIC UNITED PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2016-03-30",
"status": "A",
"authorized_official_last_name": "LEVANDOWSKI",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-771-3399",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MT",
"license": "1245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2050289",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000211627",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLINIC PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.