Individual provider Active NPI

Montana Forbis, PHARMD

  • Pharmacy
  • Atoka, OK
National Provider Identifier
1376231100
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
20037 Issued in OK
Practice address
1585 W Liberty Rd
Atoka, OK 74525-1702
Phone
(580) 889-1981
NPI assigned
Apr 28, 2023
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 20037 OK Primary

Addresses

Primary practice location

1585 W Liberty Rd
Atoka, OK 74525-1702

Mailing address

1585 W Liberty Rd
Atoka, OK 74525-1702
Phone (580) 889-1981

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

LicenseStateTypeSpecialty
20037OKMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP Pharmacy PastSince Apr 1, 2023 Accepting new patients
Wal-Mart Stores East, LP Pharmacy PastSince Apr 1, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1376231100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 W LIBERTY RD",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745251702",
            "telephone_number": "580-889-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 W LIBERTY RD",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745251702",
            "telephone_number": "580-889-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBIS",
        "first_name": "MONTANA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "20037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.