Eric David Montijo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18963 Issued in NC

Practice address

95 Sprinbgrook Ave
Ste 101
Clayton, NC 27520-5308

Phone

(919) 553-6224

Fax

(919) 553-7805

NPI assigned

Oct 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Beddingfield Drugs LLC

  dba Beddingfield Drugs LTC

  • Long Term Care Pharmacy
  • Clayton, NC
  • NPI 1629878392
  NPD (past)
• Beddingfield Drugs LLC

  • Community/Retail Pharmacy
  • Clayton, NC
  • NPI 1841607223
  NPD (past)

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1417282815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SPRINBGROOK AVE",
            "address_2": "STE 101",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205308",
            "telephone_number": "919-553-6224",
            "fax_number": "919-553-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SPRINBGROOK AVE",
            "address_2": "STE 101",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205308",
            "telephone_number": "919-553-6224",
            "fax_number": "919-553-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIJO",
        "first_name": "ERIC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NORTH CAROLINA",
            "identifier": "1417282815",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Mitchell
• Becki Lynn Mitchell, RPH
• MNH Therapies, LLC
• Amanda Rose Moccaldi
• Chareen Riley Monk, M.ED., CCC-SLP
• Edward E. Moody Jr., PH.D.
• Carrie Moore, LCSW
• Kayla Moore
• Stephanie Michelle Moore
• Mooring & Mooring, DDS, PA

• Pharmacist in Clayton, NC
• Providers in Clayton, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.