Organization Active NPI

Valley Drug of Malta, Inc.

  • Pharmacy
  • Malta, MT
National Provider Identifier
1972687937
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
VALLEY DRUG OF MALTA, INC.
Practice address
131 S 1St Ave E
Malta, MT 59538
Phone
(406) 654-2632
Fax
(406) 654-1243
NPI assigned
Oct 25, 2006
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Mr. Gregory B Ziegler, RPH
Title
Owner
Phone
(406) 654-2632

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 28153 MT
Pharmacy 333600000X NU Primary
Long Term Care Pharmacy 3336L0003X 28153 MT

Addresses

Primary practice location

131 S 1St Ave E
Malta, MT 59538

Mailing address

Box 1240
Malta, MT 59538
Phone (406) 654-2632

Other identifiers 1

IdentifierTypeStateIssuer
1972687937MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1972687937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 1240",
            "city": "MALTA",
            "state": "MT",
            "postal_code": "59538",
            "telephone_number": "406-654-2632",
            "fax_number": "406-654-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S 1ST AVE E",
            "city": "MALTA",
            "state": "MT",
            "postal_code": "59538",
            "telephone_number": "406-654-2632",
            "fax_number": "406-654-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DRUG OF MALTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "ZIEGLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-654-2632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "28153",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MT",
            "license": "28153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972687937",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.