MINERAL PHARMACY
NPI 1629651690
Pharmacy - Community/Retail Pharmacy in Superior, MT

Active since April 28, 2021CLIA 27D2282712 · Waiver
207 RIVER ST, SUPERIOR, MT 59872(406) 822-4681(406) 822-0057 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2021, Aug 27, 2021, Apr 28, 2021 (3 updates tracked since 2021).

About Mineral Pharmacy NPPES

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

MINERAL PHARMACY (NPI 1629651690) is a healthcare organization registered as a community/retail pharmacy in Superior, Montana and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Andrea R Holmes, President/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1629651690
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMINERAL DRUG, INC
Location Address207 RIVER STSuperior, MT 59872-9673
Mailing AddressPo Box 1407Plains, MT 59859-1407 · (406) 822-4681 · Fax (406) 822-0057
Fax(406) 822-0057
Organization SubpartNo
Authorized OfficialAndrea R HolmesPresident/pharmacist · (406) 822-4681
Enumeration DateApril 28, 2021
Last NPPES UpdateSeptember 16, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
NPI 1629651690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
Also ListedPharmacyTaxonomy 333600000X
207 RIVER ST, Superior, MT 59872

Other Names 1

Doing Business AsMineral Pharmacy

Accepted 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 27D2282712

Mineral Drug Inc · Superior, MT
Active · expires May 23, 2027
CLIA Number27D2282712
Laboratory TypePharmacy
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorDustin Baker
Laboratory Phone(406) 822-4681
Laboratory LocationMineral Drug Inc207 River Street, Superior, MT 59872
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Mineral Drug, Inc carries, from the Medicare DMEPOS supplier directory.

Mineral Drug, Inc

DMEPOS supplier · Superior, MT

Accepts Medicare assignment

Mineral Drug, Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20405885
Medicare Participant SinceMay 17, 2021
Supplier Location207 River StSuperior, MT 59872
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
207 RIVER ST, PO BOX 1157
SUPERIOR, MT 59872
Pharmacy (Community/Retail Pharmacy)
207 RIVER ST
SUPERIOR, MT 59872

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 Mineral Drug, Inc's NPI number?

The NPI number for Mineral Drug, Inc is 1629651690. It was assigned to this organization in the NPPES registry on April 28, 2021. The provider is doing business as Mineral Pharmacy.

Where is Mineral Drug, Inc located?

Mineral Drug, Inc is located at 207 River St, Superior, MT 59872. The listed phone number is (406) 822-4681.

What is Mineral Drug, Inc's specialty?

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

Does Mineral Drug, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mineral Drug, Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Mineral Drug, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2282712) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mineral Drug, Inc 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 48 other insurers list Mineral Drug, Inc 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 Mineral Drug, Inc was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.