DR. MELISSA KEETON MONTGOMERY (NPI# 1053547422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053547422 |
| Entity Type | Individual |
| Full Name | DR. MELISSA KEETON MONTGOMERY |
| Other Name | DR. MELISSA SUE KEETON |
| Credential | PHARM.D. |
| Practice Address |
2525 Horizon Lake Dr Ste 101 Memphis TN 38133-8119 |
| Mailing Address |
5393 Dixie Creek Dr Hernando MS 38632-6368 |
| Practice Telephone | 8778827822 |
| Practice Fax Number | 9013849936 |
| Mailing Telephone | 1877882782 |
| Mailing Fax Number | 9013849936 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 10475 | MS | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 14899 | AL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 33539 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BOARD OF PHARMACY | 14899 | 01 |
| MS | BOARD OF PHARMACY | 10475 | 01 |
| TN | BOARD OF PHARMACY | 33539 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700377066 | Melissa Ann Montgomery | Nurse Practitioner | 3450 E Frank Phillips Blvd Ste 400, Bartlesville, OK 74006-2401 | 2018-05-22 |
| 1942278932 | Melissa Marie Montgomery | Counselor | Northmar Center Lower Level, 3843 East Market Street, Warren, OH 44484 | 2006-03-08 |
| 1033567706 | Melissa Ann Montgomery | Social Worker | 1115 E Florence Blvd, Suite A, Casa Grande, AZ 85122-4228 | 2016-06-02 |
| 1962827188 | Melissa M Montgomery | Specialist/Technologist | 18111 Nordhoff St., Csun Dept. of Kinesiology, Northridge, CA 91330-8287 | 2014-02-25 |
| 1255577870 | Melissa Montgomery | Registered Nurse | 10065 E Harvard Ave, Suite #400, Denver, CO 80231-5968 | 2009-01-02 |
| 1952589921 | Melissa M Montgomery | Urology | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2008-02-01 |
| Street Address |
2525 HORIZON LAKE DR STE 101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38133-8119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548371610 | Enclara Pharmacia, Inc. | Pharmacy | 2525 Horizon Lake Dr Ste 101, Memphis, TN 38133-8119 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| Find all providers in zip 38133 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366678 | Punam Patel | Pharmacist | 3075 Lamar Ave, Memphis, TN 38114-6440 | 2020-08-12 |
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1952935322 | Madison Ann Williams | Pharmacist | 1680 Century Center Pkwy Ste 15, Memphis, TN 38134-8827 | 2020-02-25 |
| 1558900290 | Jiderechukwu Ugonna Anyigbo | Pharmacist | 232 Keel Ave, Memphis, TN 38107-3736 | 2019-12-28 |
| 1740823525 | Erica Danielle Washington | Pharmacist | 6025 Walnut Grove Rd Ste 108, Memphis, TN 38120-2116 | 2019-10-23 |
| 1356983308 | Olivia Brooks Wingate | Pharmacist | 8700 W Trail Lake Dr Ste 205, Memphis, TN 38125-8205 | 2019-10-11 |
| 1891266201 | Sara Smigielski | Pharmacist | 5219 Sequoia Ave, Memphis, TN 38120-1544 | 2018-12-10 |
| 1104393313 | Christine Ven Handy | Pharmacist | 4667 Flamingo Rd, Memphis, TN 38117-6111 | 2018-10-25 |
| 1821595026 | Alan Carter | Pharmacist | 5293 Elvis Presley Blvd, Memphis, TN 38116-8233 | 2018-04-12 |
| 1104364728 | Heather Mullins | Pharmacist | 6949 Appling Farms Pkwy Ste 109, Memphis, TN 38133-4731 | 2017-02-02 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.