Individual provider Active NPI

Jane Louise Montijo, RPH

  • Pharmacist
  • Irving, TX
National Provider Identifier
1447617154
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31315 Issued in TX
Practice address
8840 N Macarthur Blvd
Irving, TX 75063-7593
Phone
(800) 447-7558
Fax
(855) 838-0623
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31315 TX Primary

Addresses

Primary practice location

8840 N Macarthur Blvd
Irving, TX 75063-7593

Mailing address

3460 Daisy LN
Grand Prairie, TX 75052-8050
Phone (972) 900-1434

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
31315TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1447617154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 DAISY LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528050",
            "telephone_number": "972-900-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637593",
            "telephone_number": "800-447-7558",
            "fax_number": "855-838-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIJO",
        "first_name": "JANE",
        "middle_name": "LOUISE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "31315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.