BITTERROOT DRUG INC — NPI 1043375975 (Licensed & Credentialed Suppliers — Pharmacy, Community

CMS-1500 Box 24J / 33a • NPI

1043375975

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3336C0003X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy

Box 32 Service Location & ZIP+4

211 W MAIN ST, HAMILTON, MT, 59840-2553

✓ 9-Digit EDI 837 ZIP+4 (59840-2553)

Practice Phone & Referral Fax

(406) 363-3611

Fax: (406) 363-0131

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043375975 (BITTERROOT DRUG INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1043375975)

Medicare Beneficiaries

699

Total Billed Services

2,376

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$184,111.66

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`90480`	Admn sarscov2 vacc 1 dose	565
`90653`	Influenza vaccine, inactivated	367
`90656`	Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage	19
`90662`	Influenza vaccine split virus, preservative free	182
`90677`	Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	32
`91322`	Sarscov2 vac 50 mcg/0.5ml im	565
`G0008`	Administration of influenza virus vaccine	575
`G0009`	Administration of pneumococcal vaccine	32

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043375975` (NPI-2 Organization / Facility)
Provider / Legal Name	BITTERROOT DRUG INC
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy NUCC Code: `3336C0003X` (Pharmacy, Community/Retail Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	211 W MAIN ST, HAMILTON, MT, 59840-2553
Practice Telephone / Fax	Tel: (406) 363-3611 \| Fax: (406) 363-0131
Administrative Mailing Address	211 W MAIN ST, HAMILTON, MT, 59840-2553
Enumeration & Last Sync	Enumerated: 2006-12-22 \| CMS Record Updated: 2026-02-09
Authorized Official	PETE SEIFERT (PHARMACIST AND OWNER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

211 W MAIN ST, HAMILTON, MT, 59840-2553

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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)

What Does Taxonomy Code 3336C0003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Community/Retail Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BITTERROOT DRUG INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336L0003X` — Pharmacy, Long Term Care Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`3336C0004X` — Pharmacy, Compounding Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Secondary
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies	State: N/A \| License: `Verified` \| Primary: Secondary
`3336M0002X` — Pharmacy, Mail Order Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Mail Order Pharmacy	State: N/A \| License: `Verified` \| Primary: Secondary
`3336C0003X` — Pharmacy, Community/Retail Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy	State: MT \| License: `1160` \| Primary: Yes (Primary)

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BITTERROOT DRUG INC (NPI #1043375975)