Active NPI
Montra Ervin
- Pharmacist
- Tucson, AZ
National Provider Identifier
1255738712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S015154
- Practice address
- 455 E Wetmore Rd
Tucson, AZ 85705-1743 - Phone
- (520) 887-7007
- NPI assigned
- Nov 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S015154 | AZ | Primary |
Addresses
Primary practice location
455 E Wetmore Rd
Tucson, AZ 85705-1743
Mailing address
5326 N Entrada de Sabino
Tucson, AZ 85750-6400
Phone (520) 495-8138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S015154 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417132800000",
"number": "1255738712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5326 N ENTRADA DE SABINO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506400",
"telephone_number": "520-495-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E WETMORE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857051743",
"telephone_number": "520-887-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERVIN",
"first_name": "MONTRA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-28",
"last_updated": "2014-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S015154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.