Organization Active NPI

Jay R Montgomery

Doing business as Parrish Apothecary Shop

  • Pharmacy
  • Bellefonte, PA
National Provider Identifier
1255405601
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP411782L Issued in PA
Legal business name
JAY R MONTGOMERY
Doing business as
Parrish Apothecary Shop
Practice address
114 N Allegheny St
Bellefonte, PA 16823-1627
Phone
(814) 355-2914
Fax
(814) 355-7628
NPI assigned
Nov 19, 2006
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mr. Jay Ronald Montgomery, RPH.
Title
Owner
Phone
(814) 355-2914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP411782L PA Primary

Addresses

Primary practice location

114 N Allegheny St
Bellefonte, PA 16823-1627

Mailing address

114 N Allegheny St
Bellefonte, PA 16823-1627
Phone (814) 355-2914

Other identifiers 1

IdentifierTypeStateIssuer
000566411MedicaidPA

Other names 1

  • Parrish Apothecary Shop Doing business as

National Provider Directory

National Provider Directory

Locations

114 N Allegheny St
Bellefonte, PA 16823
Phone (814) 355-2914

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1255405601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N ALLEGHENY ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231627",
            "telephone_number": "814-355-2914",
            "fax_number": "814-355-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N ALLEGHENY ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231627",
            "telephone_number": "814-355-2914",
            "fax_number": "814-355-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY R MONTGOMERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-19",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-355-2914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411782L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000566411",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parrish Apothecary Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.