Montgomery County Memorial Hospital
Organization Active NPI Community/Retail Pharmacy · Red Oak, IA
NPI 1104602549 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1104602549
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- MONTGOMERY COUNTY MEMORIAL HOSPITAL
- Practice address
- 600 Senate Ave
Red Oak, IA 51566-1283 - Phone
- (712) 623-1900
- NPI assigned
- Sep 1, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- MONTGOMERY COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Bryant J Blay
- Title
- Cfo
- Phone
- (712) 623-7000
Corporate family (same tax ID) 10
Practitioners 6
-
Zachary Hiraki, PHARMD
-
Katheryn Elizabeth Larson, PHARMD
-
Masoode S Nikseresht, R. PH.
-
Monica Nikseresht, PHARMD
-
Jill Ogg-Gress, APRN
National Provider Directory
- Tax ID family
- Montgomery County Memorial Hospital
- Part of
- Montgomery County Memorial Hospital
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2204183e-6c83-4c63-94c0-94d8c17a6ef8/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
600 Senate Ave
Red Oak, IA 51566-1283
Mailing address
PO Box 498
Red Oak, IA 51566-0498
Phone (712) 623-7000
Other names
- MCMH Pharmacy
Other providers in Red Oak, IA
- Michael J Portz OD PC
- Michael J. Portz, O.D., P.C.
- Mills County
- Molly Miner
- Montgomery County
- Montgomery County Memorial Hospital
- Montgomery County Memorial Hospital
- Montgomery County Memorial Hospital
- Montgomery County Memorial Hospital
- Montgomery County Memorial Hospital
All providers in Red Oak, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.