Individual provider Active NPI

Sherry Ann Montoya, RPH

  • Pharmacy
  • Santa Fe, NM
National Provider Identifier
1750002424
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH00001608 Issued in NM
Practice address
1301 Siler Rd BLDG a
Santa Fe, NM 87507-3540
Phone
(505) 412-0195
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH00001608 NM Primary

Addresses

Primary practice location

1301 Siler Rd BLDG a
Santa Fe, NM 87507-3540

Mailing address

2970 Viaje Pavo Real
Santa Fe, NM 87505-5388
Phone (505) 670-5570

Other practice location 1

605 Letrado St Ste B
Santa Fe, NM 87505-4146
Phone (505) 476-2600

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

LicenseStateTypeSpecialty
PH00001608NMMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Mexico Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1750002424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 VIAJE PAVO REAL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055388",
            "telephone_number": "505-670-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SILER RD BLDG A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073540",
            "telephone_number": "505-412-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Letrado St Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054146",
            "country_code": "US",
            "telephone_number": "505-476-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NM",
            "license": "PH00001608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

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

Verify at the official NPI Registry.