Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Glacier Ridge Pharmacy Inc

Community/Retail Pharmacy in Kalispell, MT · enumerated 2009 · authorized official Renee Wilkonski-Larson, Owner/Manager/Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205062098

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Glacier Ridge Pharmacy Inc

Other name <Unavail>

Practice address 55 1st Avenue East N, Kalispell, MT, 59901

Phone (406) 755-7979

Fax (406) 755-7981

Enumeration date Jun 7, 2009

Last updated in NPPES Sep 18, 2009

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 1288 (MT) Primary

3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Renee Wilkonski-Larson

Title Owner/Manager/Pic

Phone (406) 370-9877

Other identifiers

Identifier	Type	State	Issuer
2783531	Other	-	NCPDP PROVIDER IDENTIFICATION NUMBER
1205062098	Medicaid	MT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Glacier Ridge Pharmacy Inc located?

The practice location on file with NPPES is in Kalispell, MT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-09-18. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-18.