Credena Health LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CREDENA HEALTH LLC

Practice address

500 W Broadway St
Missoula, MT 59802-4008

Phone

(406) 327-1650

Fax

(406) 327-1651

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mike Amine Skafi, RPH

Title

Avp Pharmacy

Phone

(575) 650-3396

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• Credena Health Pharmacy St. Patrick Doing business as
• The Broadway Pharmacy Former legal business name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Credena Health LLC

  • Community/Retail Pharmacy
  • Polson, MT
  • NPI 1073687919

  O20191114000809

  Same enrollment
• Credena Health LLC

  • Community/Retail Pharmacy
  • Polson, MT
  • NPI 1164809778

  O20191114000809

  Same enrollment
• Credena Health LLC

  • Community/Retail Pharmacy
  • Missoula, MT
  • NPI 1184978090

  O20191114000809

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Providence Health & Services Mt

  • Cardiovascular Disease Physician
  • St. Ignatius, MT
  • NPI 1568629038

  Member Of

  NPD member

Member organizations 1

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

• Riverside Health Care Center

  • Skilled Nursing Facility
  • Missoula, MT
  • NPI 1356308399

  Member Of

  NPD member

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1972613388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2704",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082704",
            "telephone_number": "406-327-1650",
            "fax_number": "406-327-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-327-1650",
            "fax_number": "406-327-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "SKAFI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "AMINE",
        "authorized_official_title_or_position": "AVP PHARMACY",
        "authorized_official_telephone_number": "575-650-3396",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213187",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Credena Health Pharmacy St. Patrick",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Broadway Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Broadway Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Erin Lea Crawford, RN
• Wendy Ann Crawford
• Creating Space LLC
• Credena Health LLC
• Credena Health LLC
• Charlotte Catherine Creekmore, NP
• Castle Creighton
• Alicia Crepps
• Joseph Thomas Crepps III, D.D.S.
• Katherine Crevi, LMSW

• Community/Retail Pharmacy in Missoula, MT
• Providers in Missoula, 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 Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.