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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRANITE PHARMACY LLC
NPI 1417264649
Pharmacy - Community/Retail Pharmacy in Philipsburg, MT

Active since September 09, 2010
107 S HOLLAND ST, PHILIPSBURG, MT 59858(406) 859-3784(406) 859-4412 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2026, Jan 8, 2026, Feb 28, 2017 and 2 more (5 updates tracked since 2015).

About Granite Pharmacy Llc NPPES

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

GRANITE PHARMACY LLC (NPI 1417264649), doing business as Granite Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Philipsburg, Montana and active in the NPI registry since September 2010. The organization lists Tina Koerner, President, as its authorized official.

NPPES Registry Identity

NPI1417264649
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRANITE PHARMACY LLC
Location Address107 S HOLLAND STPhilipsburg, MT 59858-7609
Mailing Address2230 27th AveMissoula, MT 59804-5126 · (406) 926-2941 · Fax (844) 589-6696
Phone(406) 859-3784
Fax(406) 859-4412
Organization SubpartNo
Authorized OfficialTina KoernerPresident · (406) 926-2941
Enumeration DateSeptember 9, 2010
Last NPPES UpdateJune 29, 20265 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1417264649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MT · 1316
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
107 S HOLLAND ST, Philipsburg, MT 59858
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Other Names 2

Doing Business AsGranite Pharmacy
Doing Business AsGranite Pharmacy Philipsburg

Other Identifiers 2

Other2126587Pk
Medicaid1417264649MT

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 ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
68 services67 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
33 services33 patients

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 Granite Pharmacy LLC's NPI number?

The NPI number for Granite Pharmacy LLC is 1417264649. It was assigned to this organization in the NPPES registry on September 9, 2010. The provider is doing business as Granite Pharmacy and Granite Pharmacy Philipsburg.

Where is Granite Pharmacy LLC located?

Granite Pharmacy LLC is located at 107 S Holland St, Philipsburg, MT 59858. The listed phone number is (406) 859-3784.

What is Granite Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Granite Pharmacy 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 47 other insurers list Granite Pharmacy 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 Granite Pharmacy LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.