OrganizationActive
Glacier Ridge Pharmacy Inc
NPI 1205062098 · Community/Retail Pharmacy · Kalispell, MT
Glacier Ridge Pharmacy Inc is a Community/Retail Pharmacy organization in Kalispell, MT (NPI 1205062098).
Provider details
- NPI number
- 1205062098
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Renee Wilkonski-Larson, Owner/Manager/Pic(406) 370-9877
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
55 1st Avenue East N
Kalispell, MT 59901-4001
Phone: (406) 755-7979
Fax: (406) 755-7981
Street-level locationGet directions
Mailing address
55 1st Avenue East N
Kalispell, MT 59901-4001
Other names (DBA / former)
- Doing business as
- Glacier Ridge Pharmacy
Registry dates
- Enumerated
- 2009-06-07
- Last updated
- 2009-09-18
Frequently asked questions
- What is Glacier Ridge Pharmacy Inc's NPI number?
- Glacier Ridge Pharmacy Inc's National Provider Identifier (NPI) is 1205062098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glacier Ridge Pharmacy Inc?
- Glacier Ridge Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Glacier Ridge Pharmacy Inc located?
- Glacier Ridge Pharmacy Inc's practice location on file with NPPES is 55 1st Avenue East N, Kalispell, MT 59901-4001.
- What is Glacier Ridge Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Glacier Ridge Pharmacy Inc is (406) 755-7979.
- Who is the authorized official for Glacier Ridge Pharmacy Inc?
- The authorized official listed on Glacier Ridge Pharmacy Inc's NPPES record is Renee Wilkonski-Larson, Owner/Manager/Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glacier Ridge Pharmacy Inc's NPI active?
- Yes — Glacier Ridge Pharmacy Inc's NPI (1205062098) is active in the NPPES registry as of the last update on 2009-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.