MONTEZUMA DRUG LLC (NPI# 1083029359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083029359 |
| Entity Type | Organization |
| Organization Name | MONTEZUMA DRUG LLC |
| Other Organization Name | MONTEZUMA DRUG |
| Practice Address |
300 N Aztec St Montezuma KS 67867-8874 |
| Mailing Address |
Po Box 128 Montezuma KS 67867-0128 |
| Practice Telephone | 6208462202 |
| Practice Fax Number | 6208467130 |
| Mailing Telephone | 6208462202 |
| Mailing Fax Number | 6208467130 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | JAMI HELM (OWNER/PIC) |
| Authorized Official Telephone | 6208462202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-13042 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201107230A | 05 | |
| PK | 2147191 | 01 |
| Other Name | Type Code |
|---|---|
| Montezuma Drug | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033185 | Montezuma Drug LLC | Pharmacy | 300 N Aztec St, Montezuma, KS 67867-8874 | 2019-10-08 |
| Street Address |
300 N AZTEC ST |
| City | MONTEZUMA |
| State | KS |
| Zip Code | 67867-8874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033185 | Montezuma Drug LLC | Pharmacy | 300 N Aztec St, Montezuma, KS 67867-8874 | 2019-10-08 |
| 1164886503 | Jami J Helm | Pharmacist | 300 N Aztec St, Montezuma, KS 67867-8874 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154423234 | Jerry S Jackson | Podiatrist | 300 Aztec St, Montezuma, KS 67867 | 2006-09-01 |
| 1881676112 | Andrew W Schowengerdt | Family Medicine | 304 N Aztec, Montezuma, KS 67867 | 2005-11-14 |
| 1184733396 | Thomas J Brown Jr | Pharmacist | 300 N Aztec, Montezuma, KS 67867-0128 | 2006-08-30 |
| 1659606382 | Usd 371 Montezuma Schools | Local Education Agency (LEA) | 103 W Sunnyside, Montezuma, KS 67867-0355 | 2009-10-14 |
| 1528040797 | Bethel Home, Inc. | Nursing Facility/Intermediate Care Facility | 300 S Aztec St, Montezuma, KS 67867-8811 | 2005-11-15 |
| 1376911768 | Mobile Hearing of Kansas LLC | Audiologist | 300 S Aztec St, Montezuma, KS 67867-8811 | 2015-09-02 |
| 1205979432 | Bethel Home Health Care | Home Health | 300 S Aztec St, Apt. 17a, Montezuma, KS 67867-8811 | 2007-02-15 |
| 1902951668 | Payroll Plus of Kansas, Inc. | Rehabilitation Counselor | 8505 Dd Rd, Montezuma, KS 67867-8849 | 2007-01-24 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 1629689591 | St. Catherine Hospital | Internal Medicine | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-08-13 |
| Find all providers in zip 67867 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1861802134 | Freds Stores of Tennessee Inc | Pharmacy | 201 Walnut Street, Montezuma, GA 31063 | 2014-05-07 |
| 1871759662 | Remedy Drug Inc | Pharmacy | 323 E Main, Montezuma, IA 50171 | 2008-08-01 |
| 1073616819 | Georgia Cvs Pharmacy LLC | Pharmacy | 501 Spaulding Rd, Montezuma, GA 31063-1803 | 2006-09-07 |
| 1205329943 | Doctor's Pharmacy-vital Care, Inc. | Pharmacy | 116 Walnut St, Montezuma, GA 31063-1903 | 2018-06-07 |
| 1851712376 | Monte Pharmacies LLC | Pharmacy | 323 East Main Street, Montezuma, IA 50171 | 2013-12-31 |
| 1386949550 | Djk 36 Inc | Pharmacy | 112 S Dooly St, Montezuma, GA 31063-1604 | 2011-01-20 |
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| 1942829916 | Sharon Lee Family Health Care, Inc | Pharmacy | 2002 S 51st St, Kansas City, KS 66106-2419 | 2020-04-10 |
| 1629617188 | Leekers Valley Center Inc | Pharmacy | 225 S Meridian, Valley Center, KS 67147 | 2020-01-02 |
| 1811536683 | Active Lifestyle Pharmacy LLC | Pharmacy | 7800 Foster St, Overland Park, KS 66204-2955 | 2019-12-27 |
| 1427694611 | Free State Pharmacy LLC | Pharmacy | 3200 Haskell Ave Ste 140, Lawrence, KS 66046-8945 | 2019-11-21 |
| 1588224315 | Gail Reif Inc. | Pharmacy | 2040 Hutton Rd Ste 101, Kansas City, KS 66109-4566 | 2019-06-14 |
| 1356807044 | Dandurand Wellness, Inc. | Pharmacy | 550 N Hillside St Ste 3-100, Wichita, KS 67214-4910 | 2019-02-18 |
| Find all providers with the same taxonomy | ||||
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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.