Organization Active NPI

Montgomery Cancer Center LLC

  • Community/Retail Pharmacy
  • Montgomery, AL
National Provider Identifier
1831296672
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
111763 Issued in AL
Legal business name
MONTGOMERY CANCER CENTER LLC
Practice address
4145 Carmichael Rd
Ste a
Montgomery, AL 36106-2803
Phone
(334) 273-2281
Fax
(334) 386-2936
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Lisa Harrison, RPH
Title
Dir of Phcy
Phone
(334) 273-2252

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 111763 AL Primary

Addresses

Primary practice location

4145 Carmichael Rd
Ste a
Montgomery, AL 36106-2803

Mailing address

4145 Carmichael Rd
Ste a
Montgomery, AL 36106-2803
Phone (334) 273-2281

Other identifiers 1

IdentifierTypeStateIssuer
0130219OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MCC APOTHECARY Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4145 Carmichael Rd
Ste A
Montgomery, AL 36106
Phone (334) 273-2281

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1831296672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "address_2": "STE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-2281",
            "fax_number": "334-368-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "address_2": "STE A",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-2281",
            "fax_number": "334-386-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY CANCER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIR OF PHCY",
        "authorized_official_telephone_number": "334-273-2252",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "111763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0130219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCC APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

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

Verify at the official NPI Registry.