NPIMap

Organization Active NPI

Glasgow Clinic, Inc.

Doing business as 5th Avenue Pharmacy & Gift

  • Community/Retail Pharmacy
  • Glasgow, MT
National Provider Identifier
1912913575
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1223 Issued in MT
Legal business name
GLASGOW CLINIC, INC.
Doing business as
5th Avenue Pharmacy & Gift
Practice address
621 3Rd St S
Glasgow, MT 59230-2604
Phone
(406) 228-3693
Fax
(406) 228-3694
NPI assigned
Aug 1, 2006
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Greg Page, RPHNPI 1922643766
Title
Pharmacist-in-Charge
Phone
(406) 672-9588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1223 MT Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

621 3Rd St S
Glasgow, MT 59230-2604

Mailing address

621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-3693

Other names 1

  • 5th Avenue Pharmacy & Gift Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220613000594 MT DME Supplier - Pharmacy 5193639169 Practice locations: Glasgow, MT

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
5TH Avenue Pharmacy & Gift621 3Rd Street South, Glasgow, MT 59230-3651(406) 228-3693 Nebulizer Drugs Does not accept assignmentParticipating since Feb 16, 2022

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1912913575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 3RD ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302604",
            "telephone_number": "406-228-3693",
            "fax_number": "406-228-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 3RD ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302604",
            "telephone_number": "406-228-3693",
            "fax_number": "406-228-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASGOW CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "406-672-9588",
        "authorized_official_credential": "RPH"
    },
    "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": "1223",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5th Avenue Pharmacy & Gift",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glasgow, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.

Verify at the official NPI Registry.