Active NPI
Oscar Perera-Montanes, RPH, MBA
- Pharmacist
- Fort Defiance, AZ
National Provider Identifier
1477768810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS19526
- Practice address
- Usphs-Fdih, Corner of N7 and N12
Fort Defiance, AZ 86504-0649 - Phone
- (928) 729-8328
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PS19526 | FL | Primary |
Addresses
Primary practice location
Usphs-Fdih, Corner of N7 and N12
Fort Defiance, AZ 86504-0649
Mailing address
480 NW Fetterbush Way
Jensen Beach, FL 34957-3534
Phone (772) 692-5661
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS19526 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477768810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 NW FETTERBUSH WAY",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349573534",
"telephone_number": "772-692-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USPHS-FDIH, CORNER OF N7 AND N12",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERERA-MONTANES",
"first_name": "OSCAR",
"name_prefix": "Mr.",
"credential": "RPH, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS19526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.