Libby Drug P.C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

884 Issued in MT

Legal business name

LIBBY DRUG P.C

Practice address

906 Montana Ave
Libby, MT 59923-2014

Phone

(406) 293-3958

Fax

(406) 293-5858

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 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

Mrs. Leslie Ann Jaqueth

Title

Pharmacy Technician

Phone

(406) 293-3958

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• David Allen Bristol, R.PH.

  • Pharmacist
  • Libby, MT
  • NPI 1548450109
  NPD (past)
• Fredrick Thomas Jaqueth, RPH

  • Pharmacist
  • Libby, MT
  • NPI 1093853335
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982821237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MONTANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232014",
            "telephone_number": "406-293-3958",
            "fax_number": "406-293-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 MONTANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232014",
            "telephone_number": "406-293-3958",
            "fax_number": "406-293-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBBY DRUG P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAQUETH",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "406-293-3958",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220201",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waipuilani Kyes, RDH
• Gary Alan Lamey, LCPC
• Lance L Ercanbrack M.D.,P.C.
• Lavender and Roses Birth & Mothering Center
• Libby Clinic
• Libby Healthcare LLC (Libby Care Center)
• Libby of Cascadia, LLC
• Libby Schools
• Libby Volunteer Ambulance Service Inc
• Libby's Lodge of Love LLC

• Community/Retail Pharmacy in Libby, MT
• Providers in Libby, 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 22, 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.