Active NPI
Brad Montgomery
- Pharmacist
- Campbellsville, KY
National Provider Identifier
1972453942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016709
- Practice address
- 125 Greenbriar Dr
Campbellsville, KY 42718-9616 - Phone
- (270) 789-5825
- NPI assigned
- Jan 30, 2026
- Last updated
- Jan 30, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | 016709 | KY | Primary |
Addresses
Primary practice location
125 Greenbriar Dr
Campbellsville, KY 42718-9616
Mailing address
125 Greenbriar Dr
Campbellsville, KY 42718-9616
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016709 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1972453942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GREENBRIAR DR",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 GREENBRIAR DR",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189616",
"telephone_number": "270-789-5825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "BRAD",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-01-30",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "016709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.