Superior Specialty Pharmacy of Montana, LLC
NPI 1679977433ActiveOrganization· Pharmacy, Compounding Pharmacy· Kalispell, MT
Pharmacy, Compounding Pharmacy in Kalispell, Montana, registered in NPPES in October 2014, part of Superior Specialty Pharmacy of Montana, LLC. The authorized official on file is David Grady, Managing Member/Owner.
Overview
| NPI | 1679977433 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Superior Specialty Pharmacy of Montana, LLC |
| NPI issued | Oct 22, 2014 |
| Last updated in NPPES | Sep 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 1209 | MT |
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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