Diane Montgomery, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP441112 Issued in PA

Practice address

475 Ben Franklin Rd S
Indiana, PA 15701-2347

Phone

(724) 464-2108

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Giant Eagle Inc

  • Community/Retail Pharmacy
  • Indiana, PA
  • NPI 1619982535
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1124623111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BEN FRANKLIN RD S",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012347",
            "telephone_number": "724-464-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BEN FRANKLIN RD S",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012347",
            "telephone_number": "724-464-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DIANE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley N Mock, M.ED
• Melanie Mock, LCSW
• Taylor Mock, PA-C
• Govindaraj V Mohan, MD
• Rachelle Marie Monsour, R.N.
• Michael Raymond Monticue, LCSW
• Chelsea Moore
• Cybil E Moore, MA
• Mopa Group, LLC
• Mopa Group, LLC

• Pharmacist in Indiana, PA
• Providers in Indiana, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.