Montana Wellness RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MONTANA WELLNESS RX

Practice address

1230 Montana Ave Ste 106
Santa Monica, CA 90403-5986

Phone

(310) 451-2828

Fax

(310) 451-1118

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Amir Khedmatian, PHARMACISTNPI 1699175935

Title

President/Pic

Phone

(310) 451-2828

Specialties & licenses 2

Addresses

Other names 1

• MONTANA WELLNESS RX Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Amir Khedmatian

  • Pharmacist
  • Los Angeles, CA
  • NPI 1699175935
  NPD Authorized official
• Amanda Parhami

  • Pharmacist
  • Santa Monica, CA
  • NPI 1891196465
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1497591341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MONTANA AVE STE 106",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035986",
            "telephone_number": "310-451-2828",
            "fax_number": "310-451-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MONTANA AVE STE 106",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035986",
            "telephone_number": "310-451-2828",
            "fax_number": "310-451-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA WELLNESS RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "KHEDMATIAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "310-451-2828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTANA WELLNESS RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monroe Operations, LLC
• Carla Rene Monroe
• Melanie Monroe
• Rosa Monroy
• Darlene Patricia Montalvo
• Arianna Elizabeth Montero, LMFT
• Alexa Montes de Oca
• Jennifer Montesi, PH.D.
• Acinta Monteverde, M.A., MFT
• Tracey Monteverde, LVN

• Community/Retail Pharmacy in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.