Organization Active NPI

Montezuma Drug LLC

  • Long Term Care Pharmacy
  • Montezuma, KS
National Provider Identifier
1861033185
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MONTEZUMA DRUG LLC
Practice address
300 N Aztec St
Montezuma, KS 67867-8874
Phone
(620) 846-2202
Fax
(620) 846-7130
NPI assigned
Oct 8, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTEZUMA DRUG LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Jami J Helm-Meairs
Title
Owner/Pic
Phone
(620) 846-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

300 N Aztec St
Montezuma, KS 67867-8874

Mailing address

PO Box 128
Montezuma, KS 67867-0128
Phone (620) 846-2202

Other identifiers 1

IdentifierTypeStateIssuer
201107230AMedicaidKS

Other names 1

  • Montezuma Drug LTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Montezuma Drug LLC2 organizations share this tax ID, including this one
Part of
Montezuma Drug LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1861033185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "MONTEZUMA",
            "state": "KS",
            "postal_code": "678670128",
            "telephone_number": "620-846-2202",
            "fax_number": "620-846-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N AZTEC ST",
            "city": "MONTEZUMA",
            "state": "KS",
            "postal_code": "678678874",
            "telephone_number": "620-846-2202",
            "fax_number": "620-846-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEZUMA DRUG LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTEZUMA DRUG LLC",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "HELM-MEAIRS",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "620-846-2202"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201107230A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montezuma Drug LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montezuma, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.