Kimberly Dawn Montgomery, PHARMD-RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Hereford, TX
NPI 1972148484 · NPPES record last updated Nov 8, 2019
Key facts
- NPI
- 1972148484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 42537 (TX)
- Practice address
- 809 S 25 Mile Ave
Hereford, TX 79045-4801 - Phone
- (806) 364-3400
- Fax
- (806) 364-3405
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 42537 | TX | Yes |
Addresses
Primary practice location
809 S 25 Mile Ave
Hereford, TX 79045-4801
Mailing address
809 S 25 Mile Ave
Hereford, TX 79045-4801
Phone (806) 364-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42537 | Other | TX | PHARMACY LICENSE |
Other providers in Hereford, TX
- Elizabeth McCracken
- Larry Lorenzo McCullough
- Carmen Mendoza
- Mary Jessica Mertins
- MH Health Care Services, PC
- Julia Montoya
- Shelly Osborn Moss
- Quoc Trieu Nguyen
- Brandon Dakota O'Neal
- Charles Parsley
All providers in Hereford, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.