Montezuma Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-13042 Issued in KS

Legal business name

MONTEZUMA DRUG LLC

Practice address

300 N Aztec St
Montezuma, KS 67867-8874

Phone

(620) 846-2202

Fax

(620) 846-7130

NPI assigned

Jun 25, 2014

Organization subpart

No

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

Authorized official

Name

Jami HelmNPI 1164886503

Title

Owner/Pic

Phone

(620) 846-2202

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Montezuma Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Tax ID family

Montezuma Drug LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Montezuma Drug LLC

  • Long Term Care Pharmacy
  • Montezuma, KS
  • NPI 1861033185
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Montezuma Drug LLC

  • Long Term Care Pharmacy
  • Montezuma, KS
  • NPI 1861033185
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jami J Helm, PHARM.D., CGP

  • Pharmacist
  • Montezuma, KS
  • NPI 1164886503
  NPD Authorized official

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1083029359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "MONTEZUMA",
            "state": "KS",
            "postal_code": "678670128",
            "telephone_number": "620-846-2202",
            "fax_number": "620-846-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N AZTEC ST",
            "city": "MONTEZUMA",
            "state": "KS",
            "postal_code": "678678874",
            "telephone_number": "620-846-2202",
            "fax_number": "620-846-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEZUMA DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "HELM",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "620-846-2202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-13042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147191",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201107230A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montezuma Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montezuma Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethel Home, Inc.
• Jami J Helm, PHARM.D., CGP
• Samantha Jo Krueger
• Meade Hospital District
• Mobile Hearing of Kansas LLC
• Montezuma Drug LLC
• Payroll Plus of Kansas, Inc.
• Quest Care, Inc.
• Andrew W Schowengerdt, MD
• Thomas J Brown Jr

• Community/Retail Pharmacy in Montezuma, KS
• Providers in Montezuma, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.