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GRANITE PHARMACY MISSOULA, LLC
NPI 1447683651
Pharmacy - Community/Retail Pharmacy in Missoula, MT

Active since August 12, 2013CLIA 27D2072671 · Waiver
2230 27TH AVE. WEST, SUITE 2, MISSOULA, MT 59804(406) 926-2940(406) 926-2944 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 8, 2026, Jun 23, 2025, Mar 7, 2023 (3 updates tracked since 2023).

About Granite Pharmacy Missoula, Llc NPPES

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

GRANITE PHARMACY MISSOULA, LLC (NPI 1447683651), doing business as Granite Pharmacy Missoula, is a healthcare organization registered as a community/retail pharmacy in Missoula, Montana and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Tina Koerner, Owner, as its authorized official.

NPPES Registry Identity

NPI1447683651
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRANITE PHARMACY MISSOULA, LLC
Location Address2230 27TH AVE. WEST, SUITE 2Missoula, MT 59804
Mailing Address2230 27th Ave. West, Suite 2Missoula, MT 59804 · (406) 926-2940 · Fax (406) 926-2944
Phone(406) 926-2940
Fax(406) 926-2944
Organization SubpartNo
Authorized OfficialTina KoernerOwner · (406) 926-2941
Enumeration DateAugust 12, 2013
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1447683651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MT · 18801
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2230 27TH AVE. WEST, Missoula, MT 59804
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Other Names 1

Doing Business AsGranite Pharmacy Missoula

Other Identifiers 2

OtherPHA-PHR-LIC-18801MT · Mt Pharmacy License
Medicaid1447683651MT

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 Arkansas Health & Wellness 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 27D2072671

Granite Pharmacy Missoula · Missoula, MT
Active · expires Feb 3, 2028
CLIA Number27D2072671
Laboratory TypePharmacy
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorBrett Curie
Laboratory Phone(406) 926-2940
Laboratory LocationGranite Pharmacy Missoula2230 27th Avenue West Suite 2, Missoula, MT 59804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
135 services133 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.
116 services116 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 Missoula, LLC's NPI number?

The NPI number for Granite Pharmacy Missoula, LLC is 1447683651. It was assigned to this organization in the NPPES registry on August 12, 2013. The provider is doing business as Granite Pharmacy Missoula.

Where is Granite Pharmacy Missoula, LLC located?

Granite Pharmacy Missoula, LLC is located at 2230 27th Ave. West Suite 2, Missoula, MT 59804. The listed phone number is (406) 926-2940.

What is Granite Pharmacy Missoula, LLC's specialty?

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

Does Granite Pharmacy Missoula, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2072671) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Granite Pharmacy Missoula, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 41 other insurers list Granite Pharmacy Missoula, 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 Missoula, LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.