Jak Shields, LLC
NPI 1669132379ActiveOrganization· Pharmacy, Compounding Pharmacy· Missoula, MT
Pharmacy, Compounding Pharmacy in Missoula, Montana, registered in NPPES in December 2021. The authorized official on file is Kelly Marie Shields, PHARM.D, Owner/Pic.
Overview
| NPI | 1669132379 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2021 |
| Last updated in NPPES | Mar 8, 2023 |
| Certified by provider | Mar 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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