Active NPI
Carole Ann Montgomery, RPH
- Pharmacist
- Russellville, AL
National Provider Identifier
1700301470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11096
- Practice address
- Walmart Pharmacy
13675 US-43
Russellville, AL 35653 - Phone
- (256) 332-7394
- NPI assigned
- Aug 3, 2017
- 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 | 11096 | AL | Primary |
Addresses
Primary practice location
Walmart Pharmacy
13675 US-43
Russellville, AL 35653
Mailing address
1207 4TH St NW P.O. Box 1301
Red Bay, AL 35582-1301
Phone (256) 810-9270
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11096 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1700301470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 4TH ST NW P.O. BOX 1301",
"city": "RED BAY",
"state": "AL",
"postal_code": "355821301",
"telephone_number": "256-810-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALMART PHARMACY",
"address_2": "13675 US-43",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "35653",
"telephone_number": "256-332-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "CAROLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.