Vendor Pro Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VENDOR PRO CORPORATION

Practice address

1627 W Main St.
Suite 446
Bozeman, MT 59715-4011

Phone

(406) 219-1922

Fax

(406) 219-1953

NPI assigned

Dec 17, 2013

Last updated

May 26, 2020By 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

Mr. Tyler D Bohannon

Title

Manager

Phone

(406) 219-1922

Specialties & licenses 2

Addresses

Tax ID family

Vendor Pro Corporation2 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.

• Vendor Pro Corporation

  • Pharmacy
  • Bozeman, MT
  • NPI 1639589690
  NPD tax ID

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1962823054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 W MAIN ST.",
            "address_2": "SUITE 446",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154011",
            "telephone_number": "406-219-1922",
            "fax_number": "406-219-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 W MAIN ST.",
            "address_2": "SUITE 446",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154011",
            "telephone_number": "406-219-1922",
            "fax_number": "406-219-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENDOR PRO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-219-1922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MT",
            "license": "PHA-WDD-LIC-21852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine L Vargas, PTA
• Raquel Vargas, LPC
• Varied Summits Consulting
• Warren Vaughan
• Vendor Pro Corporation
• Vendor Pro Healthcare Services
• Veronica Verilhac, LMT-LMT-LIC-969
• Brieanne Noel Vermeire, ACLC
• Vibrant Life Therapy LLC
• Jennifer Viciedo, M.S., LCPC

• Durable Medical Equipment & Medical Supplies in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Durable Medical Equipment & Medical Supplies in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.