Active NPI
Mark Monterola
- Pharmacy Technician
- Tucker, GA
National Provider Identifier
1033458906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PHTC001834
- Practice address
- 1462 Montreal Rd
Tucker, GA 30084-6929 - Phone
- (770) 934-0000
- NPI assigned
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PHTC001834 | GA | Primary |
Addresses
Primary practice location
1462 Montreal Rd
Tucker, GA 30084-6929
Mailing address
1462 Montreal Rd
Tucker, GA 30084-6929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHTC001834 | GA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1033458906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846929",
"telephone_number": "770-934-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEROLA",
"first_name": "MARK",
"name_prefix": "Prof.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-12",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "GA",
"license": "PHTC001834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.