Active NPI
Theodore Marvin Lanier Jr., PHARMD, BCPS
- Pharmacotherapy Pharmacist
- Helena, MT
National Provider Identifier
1912619974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PHA-PHA-LIC-46987
- Practice address
- 2475 E Broadway St
Helena, MT 59601-4928 - Phone
- (406) 442-2480
- NPI assigned
- Dec 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PHA-PHA-LIC-46987 | MT | Primary |
Addresses
Primary practice location
2475 E Broadway St
Helena, MT 59601-4928
Mailing address
2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 444-2350
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 |
|---|---|---|---|
| PHA-PHA-LIC-46987 | MT | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1912619974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 E BROADWAY ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596014928",
"telephone_number": "406-444-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 E BROADWAY ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596014928",
"telephone_number": "406-442-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANIER",
"first_name": "THEODORE",
"middle_name": "MARVIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD, BCPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MT",
"license": "PHA-PHA-LIC-46987",
"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 Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.