Montgomery Village Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

027907 Issued in NY

Legal business name

MONTGOMERY VILLAGE PHARMACY INC

Doing business as

Montgomery Village Pharmacy

Practice address

105 Ward St Ste B
Montgomery, NY 12549-1150

Phone

(845) 457-4020

Fax

(845) 457-4030

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

James Cardillo

Title

Owner,Ao

Phone

(914) 747-5004

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MONTGOMERY VILLAGE PHARMACY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen L. Marsh, RPH, B.S.

  • Pharmacist
  • Stone Ridge, NY
  • NPI 1427226406
  NPD
• Robert A McPhillips

  • Pharmacist
  • Montgomery, NY
  • NPI 1689997363
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1114039112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PLEASANTVILLE RD",
            "address_2": "NORTH BUILDING",
            "city": "BRIARCLIFF",
            "state": "NY",
            "postal_code": "105101955",
            "telephone_number": "914-747-5002",
            "fax_number": "914-747-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WARD ST STE B",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491150",
            "telephone_number": "845-457-4020",
            "fax_number": "845-457-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "CARDILLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER,AO",
        "authorized_official_telephone_number": "914-747-5004"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "027907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068335",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2800140",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTGOMERY VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Ann Montenora
• Montgomery Massage Therapy Group, P.C.
• Montgomery Nursing Home
• Montgomery Operating Co LLC
• Montgomery Physical Therapy & Wellness PC (Access Physical Therapy & Wellness)
• Millicent Evadne Morgan, LPN
• Jennifer L Motta-Conklin, OT
• Chelsea Rae Munkelt, CNM
• Lauren Teresa Nicholson, P.T.
• Beth Nielsen, BSHA

• Community/Retail Pharmacy in Montgomery, NY
• Providers in Montgomery, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.