Nicolle Theresa Sereday, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

4562 Issued in MT

Practice address

4271 US Highway 12 E
White Sulphur Springs, MT 59645-9630

Phone

(406) 547-2316

Fax

(406) 547-2162

NPI assigned

Mar 7, 2007

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Castle Mountain Drug PLLC

  dba Castle Mountain Drug

  • Community/Retail Pharmacy
  • White Sulphur Springs, MT
  • NPI 1871824300
  NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1972633717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "MT",
            "postal_code": "596450768",
            "telephone_number": "406-547-2412",
            "fax_number": "406-547-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 US HIGHWAY 12 E",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "MT",
            "postal_code": "596459630",
            "telephone_number": "406-547-2316",
            "fax_number": "406-547-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREDAY",
        "first_name": "NICOLLE",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Meissner, PA C
• Mountainview Medical Center (Bair Medical Clinic)
• Mountainview Medical Center
• Mountainview Medical Center
• Serrana Scholten, RN
• Serenity Home Health LLP
• Suzanne Maurene Steele
• Adam Michael Stenseth, MD
• White Sulphur Springs Schools
• Kayla Whitmore, DO

• Pharmacist in White Sulphur Springs, MT
• Providers in White Sulphur Springs, MT by specialty
• Pharmacist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.