Organization Active NPI

Timber Ridge Pharmacy Inc

Doing business as Timber Ridge Pharmacy

  • Community/Retail Pharmacy
  • Hamilton, MT
National Provider Identifier
1902836927
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1097 Issued in MT
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

Updated by the provider on Nov 28, 2025

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

Authorized official

Name
Edward Coulston, RPHNPI 1740617216
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2052495OtherPK

Other names 1

  • TIMBER RIDGE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.