Active NPI
Sammie Montgomery, PHARMD
- Pharmacist
- Goldthwaite, TX
National Provider Identifier
1326522541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63506
- Practice address
- 1503 W Front St
Goldthwaite, TX 76844-2056 - Phone
- (325) 648-2484
- Fax
- (855) 899-4147
- NPI assigned
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 63506 | TX | Primary |
Addresses
Primary practice location
1503 W Front St
Goldthwaite, TX 76844-2056
Mailing address
PO Box 389
Goldthwaite, TX 76844-0389
Phone (325) 648-2484
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63506 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Medical Center Company | Past | Accepting new patients | |
| McMahan Pharmacy Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba McMahan Pharmacy Services
- Community/Retail Pharmacy
- Goldthwaite, TX
- NPI 1043313174
-
- Long Term Care Pharmacy
- Goldthwaite, TX
- NPI 1679134845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1326522541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 389",
"city": "GOLDTHWAITE",
"state": "TX",
"postal_code": "768440389",
"telephone_number": "325-648-2484",
"fax_number": "855-899-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 W FRONT ST",
"city": "GOLDTHWAITE",
"state": "TX",
"postal_code": "768442056",
"telephone_number": "325-648-2484",
"fax_number": "855-899-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "SAMMIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldthwaite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.