Active NPI
Una Yang Montanez, PHARM D
- Pharmacist
- Tulsa, OK
National Provider Identifier
1578058491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15791
- Practice address
- 9122 S Yale Ave
Tulsa, OK 74137-4039 - Phone
- (918) 494-5647
- NPI assigned
- Jun 22, 2018
- 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 | 15791 | OK | Primary |
Addresses
Primary practice location
9122 S Yale Ave
Tulsa, OK 74137-4039
Mailing address
11722 S Redbud St
Jenks, OK 74037-4319
Phone (918) 939-8617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15791 | Other | OK | OKLAHOMA STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 15791 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Tulsa, OK
- NPI 1184060048
-
- Pharmacy
- Enid, OK
- NPI 1407278260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1578058491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11722 S REDBUD ST",
"city": "JENKS",
"state": "OK",
"postal_code": "740374319",
"telephone_number": "918-939-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9122 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741374039",
"telephone_number": "918-494-5647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANEZ",
"first_name": "UNA",
"middle_name": "YANG",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE BOARD OF PHARMACY",
"identifier": "15791",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.