IndividualActive
Edwin Bangen
NPI 1962864082 · Pharmacist · Missoula, MT
Provider details
- NPI number
- 1962864082
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2615 (MT)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2205 Oxford St
Missoula, MT 59801-7936
Phone: (406) 549-5127
Fax: (406) 721-8117
Street-level locationGet directions
Mailing address
2205 Oxford St
Missoula, MT 59801-7936
Registry dates
- Enumerated
- 2016-03-28
- Last updated
- 2016-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.