Active NPI
Laura Montgomery, PHARMD
- Pharmacist
- Prosperity, SC
National Provider Identifier
1811233901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12640
- Practice address
- 101 N. Main St
Prosperity, SC 29127 - Phone
- (803) 364-2310
- Fax
- (803) 364-2311
- NPI assigned
- Dec 18, 2012
- 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 | 12640 | SC | Primary |
Addresses
Primary practice location
101 N. Main St
Prosperity, SC 29127
Mailing address
PO Box 147
Prosperity, SC 29127-0147
Phone (803) 364-2310
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pugh Drug Inc | Past | Accepting new patients | |
| Pugh Drug Inc | 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.
-
- Community/Retail Pharmacy
- Prosperity, SC
- NPI 1215973334
-
- Long Term Care Pharmacy
- Prosperity, SC
- NPI 1831972736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1811233901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 147",
"city": "PROSPERITY",
"state": "SC",
"postal_code": "291270147",
"telephone_number": "803-364-2310",
"fax_number": "803-364-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N. MAIN ST",
"city": "PROSPERITY",
"state": "SC",
"postal_code": "29127",
"telephone_number": "803-364-2310",
"fax_number": "803-364-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "LAURA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-18",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prosperity, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.