Active NPI
Theresa S Montgomery, PHARMD
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1538451547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019452
- Practice address
- 2152 S Sherwood Forest Blvd
Baton Rouge, LA 70816-8327 - Phone
- (225) 272-5370
- Fax
- (225) 274-9391
- NPI assigned
- May 9, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 019452 | LA | Primary |
Addresses
Primary practice location
2152 S Sherwood Forest Blvd
Baton Rouge, LA 70816-8327
Mailing address
18095 Greenwell Springs Rd
Greenwell Springs, LA 70739-4803
Phone (225) 937-2654
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019452 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1538451547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18095 GREENWELL SPRINGS RD",
"city": "GREENWELL SPRINGS",
"state": "LA",
"postal_code": "707394803",
"telephone_number": "225-937-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2152 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708168327",
"telephone_number": "225-272-5370",
"fax_number": "225-274-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "THERESA",
"middle_name": "S",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "019452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.