Montgomery RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MONTGOMERY RX INC

Practice address

4771 Navy Rd
Millington, TN 38053-1903

Phone

(901) 873-3200

Fax

(901) 873-0813

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Ed Montgomery, DPH

Title

Owner Pharmacist

Phone

(901) 873-3200

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Medicap Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487748794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 NAVY RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 NAVY RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531903",
            "telephone_number": "901-873-3200",
            "fax_number": "901-873-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "901-873-3200",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "C3202",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454273",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487748794",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4430966",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Millington Family Medicine, Inc.
• Millington Opco LP
• Millington Pediatrics, PC
• Tamara Jonee Mitchell, PHARM.D.
• Cailey Ruth Mokry, OD
• Mallory Brooke Moody, PA
• Sharon Moore, FNP
• Cebrina Blakey Morelli, PTA
• Cynthia Morgan, PHARM.D.
• Flossie Marie Munoz, PTA

• Community/Retail Pharmacy in Millington, TN
• Providers in Millington, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.