Active NPI
Deneen Terrell Montgomery, PHARMD
- Pharmacotherapy Pharmacist
- Raleigh, NC
National Provider Identifier
1811264492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 09758
- Practice address
- 2220 Foxtrot Rd
Raleigh, NC 27610-5046 - Phone
- (919) 821-5066
- NPI assigned
- Nov 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 09758 | NC | Primary |
Addresses
Primary practice location
2220 Foxtrot Rd
Raleigh, NC 27610-5046
Mailing address
2220 Foxtrot Rd
Raleigh, NC 27610-5046
Phone (919) 821-5066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09758 | Other | NC | NC BOARD OF PHARMACY |
Other names 1
- Ms. Deneen Kennedy Terrell-Montgomery
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 |
|---|---|---|---|
| 09758 | NC | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322179200000",
"number": "1811264492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 FOXTROT RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276105046",
"telephone_number": "919-821-5066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 FOXTROT RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276105046",
"telephone_number": "919-821-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL MONTGOMERY",
"first_name": "DENEEN",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-25",
"last_updated": "2011-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "09758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF PHARMACY",
"identifier": "09758",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENEEN",
"last_name": "KENNEDY TERRELL-MONTGOMERY",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.