Active NPI
Timber Ridge Pharmacy Inc
Doing business as Timber Ridge Pharmacy
- Community/Retail Pharmacy
- Hamilton, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1097
- Legal business name
- TIMBER RIDGE PHARMACY INC
- Doing business as
- Timber Ridge Pharmacy
- Practice address
- 1131 N 1St St
Hamilton, MT 59840-2150 - Phone
- (406) 363-9003
- Fax
- (406) 363-9005
- NPI assigned
- Jul 4, 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
- Edward Coulston, RPH
- Title
- Pic
- Phone
- (406) 363-9003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1097 | MT | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1131 N 1St St
Hamilton, MT 59840-2150
Mailing address
1131 N 1St St
Hamilton, MT 59840-2150
Phone (406) 363-9003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2052495 | Other | PK |
Other names 1
- TIMBER RIDGE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930030276 | MT | DME Supplier - Pharmacy | 4587614185 | Practice locations: Hamilton, MT |
| O20110117000250 | MT | Part B Supplier - Mass Immunization (Roster Biller Only) | 4587614185 | Practice locations: Hamilton, MT |
National Provider Directory
National Provider Directory- Tax ID family
- Timber Ridge Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Hamilton, MT
- NPI 1003841016
Locations
1131 N 1st St
Hamilton, MT 59840
Phone (406) 363-9003
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Hamilton, MT
- NPI 1740617216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764288000000",
"number": "1902836927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 N 1ST ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402150",
"telephone_number": "406-363-9003",
"fax_number": "406-363-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 N 1ST ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402150",
"telephone_number": "406-363-9003",
"fax_number": "406-363-9005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMBER RIDGE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A",
"authorized_official_last_name": "COULSTON",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "406-363-9003",
"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": "1097",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2052495",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TIMBER RIDGE PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TIMBER RIDGE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.