Dwight Randolph Montfort, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02451100 Issued in NJ

Practice address

5313 Hudson Ave
West New York, NJ 07093

Phone

(646) 296-8749

NPI assigned

Sep 10, 2010

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

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.

• Fairview Pharmacy LLC

  • Community/Retail Pharmacy
  • Fairview, NJ
  • NPI 1952704165
  NPD Authorized official

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1144537101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BENNETT AVE",
            "address_2": "APT 8G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404036",
            "telephone_number": "646-296-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 HUDSON AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "646-296-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTFORT",
        "first_name": "DWIGHT",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02451100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinesh R Mirpuri, OTR/L
• Stephanie Mitchell, LMT
• Paulina Mmereole, APN
• Robert U Mmereole, MD
• Monica Barrientos MD LLC
• Cynthia Montilla, LMT
• Harris Ira Moore, D.C.
• Indira Morales, SLP
• Brayan Morejon Vidal
• Ania C Moreno, DMD

• Pharmacist in West New York, NJ
• Providers in West New York, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.