406 CLINIC PHARMACY
NPI 1104378439
Pharmacy - Long Term Care Pharmacy in Missoula, MT

Q: What is Shields LLC's NPI number?

The NPI number for Shields LLC is 1104378439. It was assigned to this organization in the NPPES registry on November 3, 2016. The provider is doing business as 406 Clinic Pharmacy.

Q: What is Shields LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Q: When was this NPI record last updated?

The NPPES record for Shields LLC was last updated on March 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 03, 2016CLIA 27D2130911 · Waiver

1315 WYOMING ST STE A, MISSOULA, MT 59801(406) 544-8808(406) 541-0185 Get Directions Write a Review

NPPES record last updated: March 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2018, Jan 21, 2018, Mar 28, 2017 and 1 more (4 updates tracked since 2016).

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About 406 Clinic Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

406 CLINIC PHARMACY (NPI 1104378439) is a healthcare organization registered as a long term care pharmacy in Missoula, Montana and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Eric Shields, Owner/ Pic, as its authorized official.

NPPES Registry Identity

NPI1104378439

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameSHIELDS LLC

Location Address1315 WYOMING ST STE AMissoula, MT 59801-1725

Mailing Address4108 Lincoln RdMissoula, MT 59802-3046 · (406) 541-4060 · Fax (406) 541-9699

Phone(406) 544-8808

Fax(406) 541-0185

Organization SubpartNo

Authorized OfficialEric ShieldsOwner/ Pic · (406) 541-4060

Enumeration DateNovember 3, 2016

Last NPPES UpdateMarch 11, 20184 updates tracked since enumeration

✔ NPI 1104378439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

License✔ Licensed in MT · 42790

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X

1315 WYOMING ST STE A, Missoula, MT 59801

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Other Names 1

Doing Business As406 Clinic Pharmacy

Other Identifiers 1

Other2166083Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2130911

406 Clinic Pharmacy · Missoula, MT

Active · expires May 17, 2027

CLIA Number27D2130911

Laboratory TypePharmacy

Certificate Effective DateMay 18, 2025

Certificate Expiration DateMay 17, 2027

Laboratory DirectorEric R. Shields

Laboratory Phone(406) 544-8808

Laboratory Location406 Clinic Pharmacy1315 Wyoming, Suite B, Missoula, MT 59801

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shields LLC's NPI number?

The NPI number for Shields LLC is 1104378439. It was assigned to this organization in the NPPES registry on November 3, 2016. The provider is doing business as 406 Clinic Pharmacy.

Where is Shields LLC located?

Shields LLC is located at 1315 Wyoming St Ste A, Missoula, MT 59801. The listed phone number is (406) 544-8808.

What is Shields LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Shields LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2130911) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shields LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Shields LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shields LLC was last updated on March 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.