Active NPI
Vanessa Jean Montgomery, PHARMD
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1881921005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45264
- Practice address
- 6048 S Hulen St
Fort Worth, TX 76132-2604 - Phone
- (817) 423-5326
- NPI assigned
- Nov 9, 2009
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45264 | TX | Primary |
Addresses
Primary practice location
6048 S Hulen St
Fort Worth, TX 76132-2604
Mailing address
6310 Southwest Blvd Ste 204
Benbrook, TX 76109-6916
Phone (866) 869-7307
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 |
|---|---|---|---|
| 45264 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1881921005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 SOUTHWEST BLVD STE 204",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761096916",
"telephone_number": "866-869-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6048 S HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761322604",
"telephone_number": "817-423-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "VANESSA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Kylie Ann Montgomery, RBT
- Lyndsey Montgomery
- Randy Joe Montgomery, MD
- Sarah Montgomery, OTR
- Tiffany Christeen Montgomery, MOT
- Monticello Chiropractic PLLC
- Monticello Diagnostic Imaging LP (Elite Diagnostic Imaging)
- Yolanda Montiel, APRN, PMNHP-BC
- Jennifer Elizabeth Montoya, LPC ASSOCIATE
- Stephanie Montoya
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.