Lycoming County Montgomery'S Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411615L Issued in PA

Legal business name

LYCOMING COUNTY MONTGOMERY'S PHARMACY

Practice address

49 N Railroad St
Hughesville, PA 17737-1213

Phone

(570) 584-2005

Fax

(570) 584-5115

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Pauline R Montgomery, RPH

Title

President

Phone

(570) 584-2005

Specialties & licenses 1

Addresses

Tax ID family

Lycoming County Montgomery'S Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lycoming County Montgomery'S Pharmacy

  • Pharmacy
  • Montgomery, PA
  • NPI 1093847196
  NPD tax ID

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861574535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 N RAILROAD ST",
            "city": "HUGHESVILLE",
            "state": "PA",
            "postal_code": "177371213",
            "telephone_number": "570-584-2005",
            "fax_number": "570-584-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N RAILROAD ST",
            "city": "HUGHESVILLE",
            "state": "PA",
            "postal_code": "177371213",
            "telephone_number": "570-584-2005",
            "fax_number": "570-584-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYCOMING COUNTY MONTGOMERY'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-584-2005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411615L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie A Jenkins, P.A.
• Corinne Leigh Jones, MSW, LCSW
• Il Gon Kim, M.D.
• Quinn Kirk, MD
• Sarah A Knight, LCSW
• Lycoming County Montgomerys
• Morgan Terry Manchester-Ritchie, MD
• Mackenzie Lauren Marple Cole, PA-C
• Matthew Robert Martin, MS, PT
• Chelsea Elise Masteller, LMT

• All providers in Hughesville, PA
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.