NPIMap

Organization Active NPI

Montgomery Drug Company Inc.

  • Community/Retail Pharmacy
  • Montgomery, AL
National Provider Identifier
1124468210
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MONTGOMERY DRUG COMPANY INC.
Practice address
1633 Perry Hill Rd
Montgomery, AL 36106-2729
Phone
(334) 386-8813
Fax
(334) 386-8814
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Chris Phung, RPH.
Title
Pharmacist/General Manager
Phone
(334) 538-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1633 Perry Hill Rd
Montgomery, AL 36106-2729

Mailing address

35 Mitchell Dr
Montgomery, AL 36109-2923
Phone (334) 272-0802

Other names 1

  • Adams Drugs Perry Hill Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160913001314 AL Part B Supplier - Pharmacy 2860648284 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montgomery, AL; Wetumpka, AL; Prattville, AL; Millbrook, AL; Deatsville, AL

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2077340Adams Drugs Perry Hill Place1633 Perry Hill Road, Montgomery, AL 36106Certificate of waiverMay 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Drug Company Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1124468210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MITCHELL DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092923",
            "telephone_number": "334-272-0802",
            "fax_number": "334-272-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 PERRY HILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062729",
            "telephone_number": "334-386-8813",
            "fax_number": "334-386-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY DRUG COMPANY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PHARMACIST/GENERAL MANAGER",
        "authorized_official_telephone_number": "334-538-2484",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Drugs Perry Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.