Samantha Montague, CPHT
Individual provider Active NPI Pharmacy Technician · Lupton, MI
NPI 1134714652 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1134714652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 5303000390 (MI)
- Practice address
- 3871 Chrivia Rd
Lupton, MI 48635-8748 - Phone
- (989) 709-8046
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5303000390 | MI | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303000390 | MI | Yes |
Addresses
Primary practice location
3871 Chrivia Rd
Lupton, MI 48635-8748
Mailing address
3871 Chrivia Rd
Lupton, MI 48635-8748
Phone (989) 709-8046
Other providers in Lupton, MI
- Deidra Mae Barclay
- Meghan Marie Bastian
- Matthew Kowalski
- Cindy Carter Lee
- Root & Remedy Doula Services, L.L.C
- Julia Rose
- Desiree Greenwood Thomas
All providers in Lupton, MI · Pharmacy Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. 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.