Active NPI
Jennifer Montoya, PHARM.D.
- Pharmacist
- Cleburne, TX
National Provider Identifier
1043692163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48848
- Practice address
- 210 W Katherine P Raines Rd
Cleburne, TX 76033 - Phone
- (817) 641-6030
- Fax
- (817) 641-6810
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 48848 | TX | Primary |
Addresses
Primary practice location
210 W Katherine P Raines Rd
Cleburne, TX 76033
Mailing address
210 W Katherine P Raines Rd
Cleburne, TX 76033
Phone (817) 641-6030
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48848 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1043692163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W KATHERINE P RAINES RD",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "76033",
"telephone_number": "817-641-6030",
"fax_number": "817-641-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W KATHERINE P RAINES RD",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "76033",
"telephone_number": "817-641-6030",
"fax_number": "817-641-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
- Mobile Labs at Your Service LLC
- Mobility on Wheels
- Mobility on Wheels
- Roger Leroy Montgomery Jr., R.T.
- Monticello Diagnostic Imaging Cleburne, LP (Monticello Diagnostic Imaging of Cleburne)
- Braden J Moore, D.P.M
- Diana E Moore
- Jaci Elizabeth Morelock
- Morningstar Operating #1, LTD. (Fireside Lodge Rehabilitation Center of Cleburne)
- Morningstar Operating #4, LTD (Wortham Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.