NPIMap

Organization Active NPI

Winn- Dixie Montgomery, Inc.

  • Pharmacist
  • Avondale, LA
National Provider Identifier
1477645117
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15427 Issued in LA
Legal business name
WINN- DIXIE MONTGOMERY, INC.
Practice address
3001 Highway 90 W
Avondale, LA 70094-2758
Phone
(504) 437-0541
NPI assigned
Sep 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Monica A Dominique GoodenNPI 1780716340
Title
Pharmacist
Phone
(504) 437-0541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15427 LA Primary

Addresses

Primary practice location

3001 Highway 90 W
Avondale, LA 70094-2758

Mailing address

120 Riverlands Dr
La Place, LA 70068-7106
Phone (985) 651-0947

National Provider Directory

National Provider Directory

Locations

3001 Highway 90 W
Avondale, LA 70094
Phone (504) 437-0541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477645117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RIVERLANDS DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700687106",
            "telephone_number": "985-651-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HIGHWAY 90 W",
            "city": "AVONDALE",
            "state": "LA",
            "postal_code": "700942758",
            "telephone_number": "504-437-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN- DIXIE MONTGOMERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMINIQUE GOODEN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "504-437-0541",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.