Lifechek Montgomery LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25783 Issued in TX

Legal business name

LIFECHEK MONTGOMERY LLC

Practice address

1703 19TH St
Hondo, TX 78861-2301

Phone

(830) 426-2334

Fax

(830) 426-8080

NPI assigned

Nov 21, 2006

Organization subpart

Yes

Parent organization

LIFECHEK AUCHAN PARTNERS LTDAs reported in NPPES

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

Authorized official

Name

Bruce Gingrich

Title

Owner/President

Phone

(281) 232-3940

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• LIFECHEK Doing business as

Part of

Lifechek Auchan Partners LTD

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niko Ryan Caballes, PHARMD

  • Pharmacist
  • Hondo, TX
  • NPI 1568050706
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1487729067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774060027",
            "telephone_number": "281-232-3940",
            "fax_number": "832-595-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 19TH ST",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788612301",
            "telephone_number": "830-426-2334",
            "fax_number": "830-426-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECHEK MONTGOMERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECHEK AUCHAN PARTNERS LTD",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "GINGRICH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-232-3940"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25783",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097028",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470986",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFECHEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria A Jernigan, LVN
• John R. Windrow, D.D.S.,M.S.,Inc.
• John W. Meyer M D PA
• Tammy Gail Kothe-Ramsey, LPC
• Laura Hansen DO PLLC
• Melissa Liska
• Erin Lowe, LPC, LPHA
• Amanda Renee Machen, APRN-CNM
• Matthew J Windrow MD PA
• Benjamin Joseph McCollum, M.D.

• Community/Retail Pharmacy in Hondo, TX
• Providers in Hondo, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.