# KCS WESTERN DRUG INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Drug Long Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316185218
- **Authorized official:** KARI VONDRA (OWNER)
- **Authorized official phone:** (406) 222-5120

## Contact information

- **Practice address:** 1313 W PARK ST, STE B, LIVINGSTON, MT 59047-2900
- **Practice address phone:** (406) 222-5120
- **Practice address fax:** (406) 222-7947
- **Mailing address:** 1313 W PARK ST, STE B, LIVINGSTON, MT 59047-2900
- **Mailing address phone:** (406) 222-5120
- **Mailing address fax:** (406) 222-7947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 1278 | MT | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/30/2009
- **Last updated:** 04/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1316185218 | — | MT |
| 01 | — | 2783480 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |