Montecino Drugs Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY.007687-IR Issued in LA

Legal business name

MONTECINO DRUGS INC.

Doing business as

Montecino Drugs

Practice address

5917 Lapalco Blvd
Marrero, LA 70072-4833

Phone

(204) 343-4822

Fax

(504) 340-3090

NPI assigned

May 4, 2018

Last updated

May 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Montecino

Title

President/Pharmacy Managrer

Phone

(504) 347-0085

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Montecino Drugs Doing business as

Locations

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1760971840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 LAPALCO BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724833",
            "telephone_number": "204-343-4822",
            "fax_number": "504-340-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 LAPALCO BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724833",
            "telephone_number": "204-343-4822",
            "fax_number": "504-340-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTECINO DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "MONTECINO",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACY MANAGRER",
        "authorized_official_telephone_number": "504-347-0085"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "PHY.007687-IR",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montecino Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molecular Imaging of Louisiana, LLC
• Miguel Francisco Molina, MD
• Christina L. Moll, M.D.
• Oliver Mollere
• M a Liezl Quiambao Montalban
• John L. Moore, M.D.
• Janay Morgan
• Rosheba Shanee Morgan, PHARMD
• Charles Roberson Morice Sr., DDS
• Sophia L Morris, M.D.

• Pharmacy in Marrero, LA
• Providers in Marrero, LA by specialty
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.