NPIMap

Organization Active NPI

Montgomery Drug Company, Inc.

  • Community/Retail Pharmacy
  • Montgomery, AL
National Provider Identifier
1508267667
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114408 Issued in AL
Legal business name
MONTGOMERY DRUG COMPANY, INC.
Practice address
9168 Eastchase Pkwy
Montgomery, AL 36117-6883
Phone
(334) 386-7068
Fax
(334) 386-7069
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Mr. Chris Phung
Title
Pharmacy MGR
Phone
(334) 272-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 114408 AL Primary

Addresses

Primary practice location

9168 Eastchase Pkwy
Montgomery, AL 36117-6883

Mailing address

9168 Eastchase Pkwy
Montgomery, AL 36117-6883
Phone (334) 386-7068

Other names 1

  • Adams Drugs Chantilly Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160913001314 AL Part B Supplier - Pharmacy 2860648284 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montgomery, AL; Wetumpka, AL; Prattville, AL; Millbrook, AL; Deatsville, AL

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Drug Company Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9168 Eastchase Pkwy
Montgomery, AL 36117
Phone (334) 279-8041

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1508267667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9168 EASTCHASE PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176883",
            "telephone_number": "334-386-7068",
            "fax_number": "334-386-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9168 EASTCHASE PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176883",
            "telephone_number": "334-386-7068",
            "fax_number": "334-386-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY DRUG COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PHARMACY MGR",
        "authorized_official_telephone_number": "334-272-0802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Drugs Chantilly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.