Kootenai Drug and Hardware Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1150 Issued in MT

Legal business name

KOOTENAI DRUG AND HARDWARE INC

Doing business as

Kootenai Drug

Practice address

611 E Missoula Ave
Troy, MT 59935

Phone

(406) 295-4361

Fax

(406) 295-5326

NPI assigned

Jun 14, 2006

Last updated

Feb 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Hermes, RPHNPI 1659565869

Title

Owner

Phone

(406) 295-4361

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KOOTENAI DRUG Doing business as

Practitioners 2

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.

• Christopher Dean Hermes, RPH

  • Pharmacist
  • Troy, MT
  • NPI 1659565869
  NPD Authorized official
• Michael Wells, PHARMD

  • Pharmacist
  • Troy, MT
  • NPI 1033667530
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1912940297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E MISSOULA AVE",
            "address_2": "PO BOX 328",
            "city": "TROY",
            "state": "MT",
            "postal_code": "59935",
            "telephone_number": "406-295-4361",
            "fax_number": "406-295-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MISSOULA AVE",
            "city": "TROY",
            "state": "MT",
            "postal_code": "59935",
            "telephone_number": "406-295-4361",
            "fax_number": "406-295-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOTENAI DRUG AND HARDWARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "HERMES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-295-4361",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050152",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214455",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOOTENAI DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Invicta Consulting LLC (Apex Psychology Group)
• Lincoln County Community Health Center, Inc (Northwest Community Health Center)
• Medicine Tree Primary Care Inc
• Steven R Mendive, D.D.S.
• Leslie Myers, LCPC
• Newport Pathology

• Community/Retail Pharmacy in Troy, MT
• Providers in Troy, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.