Melissa Keeton Montgomery, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

33539 Issued in TN

Practice address

2525 Horizon Lake Dr Ste 101
Memphis, TN 38133-8119

Phone

(877) 882-7822

Fax

(901) 384-9936

NPI assigned

May 29, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Dr. Melissa Sue Keeton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montgomery Keeton Infusion Center, LLC.

  • Infusion Therapy Clinic/Center
  • Muscle Shoals, AL
  • NPI 1164220729
  NPD Authorized official
• MK Infusion Pharmacy LLC

  • Home Infusion Therapy Pharmacy
  • Muscle Shoals, AL
  • NPI 1093179509
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1053547422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5393 DIXIE CREEK DR",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386326368",
            "telephone_number": "187-788-2782",
            "fax_number": "901-384-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HORIZON LAKE DR STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338119",
            "telephone_number": "877-882-7822",
            "fax_number": "901-384-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MELISSA",
        "middle_name": "KEETON",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "33539",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14899",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "10475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "14899",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "10475",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "33539",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KEETON",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Montera Health Tennessee LLC
• Morgan Tynes Monteverde, M.A., CCC-SLP
• Christiana Vanzant Montgomery, O.D.
• Glynda Hardy Montgomery, RD, LDN
• Kiva Montgomery, B.S.W.
• Ronald James Montgomery, DPT
• Van Alexander Montgomery, M.D.
• Virginia Kaitlin Montoya, MS, NCC, LPC-MHSP
• Kathleen Montry, PHD
• Monument Dental Anesthesia PLLC

• Pharmacist in Memphis, TN
• Providers in Memphis, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.