Monrovia Family Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113082 Issued in AL

Legal business name

MONROVIA FAMILY PHARMACY

Doing business as

Monrovia Family Pharmacy

Practice address

7190 Wall Triana Hwy
Ste B and C
Madison, AL 35757-7464

Phone

(256) 726-0208

Fax

(256) 726-0211

NPI assigned

Mar 24, 2008

Last updated

Apr 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wanda Floyd

Title

Owner

Phone

(256) 721-0128

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MONROVIA FAMILY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1972775526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7190 WALL TRIANA HWY",
            "address_2": "STE B AND C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357577464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 WALL TRIANA HWY",
            "address_2": "STE B AND C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357577464",
            "telephone_number": "256-726-0208",
            "fax_number": "256-726-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROVIA FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-721-0128"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0135221",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONROVIA FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Katherine Ennis Moebes, CRNP
• Monrovia Family Dentistry
• Shelly Kristin Montalvo, CRNP
• Brendella Turnbow Montgomery, M.D.
• Charles Montgomery, LPC
• Morgan Montgomery
• Mackenzi Montoya

• Community/Retail Pharmacy in Madison, AL
• Providers in Madison, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.