Lydi Ann Montgomery, RPH
Individual provider Active NPI Pharmacist · Rimersburg, PA
NPI 1295212918 · NPPES record last updated Jul 25, 2018
Key facts
- NPI
- 1295212918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP040981L (PA)
- Practice address
- 650 Main Street
Rimersburg, PA 16248 - Phone
- (814) 473-3985
- Fax
- (814) 473-8228
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP040981L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klingensmith Rimersburg Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP040981L | PA | Yes |
Addresses
Primary practice location
650 Main Street
Rimersburg, PA 16248
Mailing address
PO Box D
Rimersburg, PA 16248-0504
Phone (814) 473-3985
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP040981L | Other | PA | STATE LICENSE NUMBER |
Other providers in Rimersburg, PA
- Health Services of Clarion, Inc.
- Lindsay Kay Hepler
- Klingensmith Rimersburg Inc.
- Klingensmith Rimersburg Inc.
- Misty McCullough
- Jacqueline Brooks Smith
- Southern Clarion County Volunteer Ambulance Service
- Union School District
All providers in Rimersburg, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2018. 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.