Active NPI
Dominique Dynse Preputin, PHARM D, RPH
- Pharmacist
- Havre, MT
National Provider Identifier
1962529255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4422
- Practice address
- 123 5TH Ave Ste B
Havre, MT 59501-3624 - Phone
- (406) 265-9601
- Fax
- (406) 265-4422
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4422 | MT | Primary |
Addresses
Primary practice location
123 5TH Ave Ste B
Havre, MT 59501-3624
Mailing address
2351 St Joe Rd
Havre, MT 59501-8095
Phone (406) 265-9601
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4422 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WDP Inc | Current | Accepting new patients | |
| Western Drug Pharmacy | Past | Accepting new patients |
Locations
123 5th Ave
Ste B
Havre, MT 59501
Phone (406) 265-9601
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Havre, MT
- NPI 1356583330
-
- Community/Retail Pharmacy
- Havre, MT
- NPI 1225140221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962529255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 ST JOE RD",
"city": "HAVRE",
"state": "MT",
"postal_code": "595018095",
"telephone_number": "406-265-9601",
"fax_number": "406-265-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 5TH AVE STE B",
"city": "HAVRE",
"state": "MT",
"postal_code": "595013624",
"telephone_number": "406-265-9601",
"fax_number": "406-265-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREPUTIN",
"first_name": "DOMINIQUE",
"middle_name": "DYNSE",
"credential": "PHARM D, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "4422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.