MONTGOMERY VILLAGE PHARMACY INC (NPI# 1114039112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114039112 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY VILLAGE PHARMACY INC |
| Other Organization Name | MONTGOMERY VILLAGE PHARMACY |
| Practice Address |
105 Ward St Ste B Montgomery NY 12549-1150 |
| Mailing Address |
555 Pleasantville Rd North Building Briarcliff NY 10510-1955 |
| Practice Telephone | 8454574020 |
| Practice Fax Number | 8454574030 |
| Mailing Telephone | 9147475002 |
| Mailing Fax Number | 9147475003 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | JAMES CARDILLO (OWNER,AO) |
| Authorized Official Telephone | 9147475004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
027907 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2068335 | 01 | |
| NY | 2800140 | 05 |
| Other Name | Type Code |
|---|---|
| MONTGOMERY VILLAGE PHARMACY | Doing Business As Name - Organization |
| Street Address |
105 WARD ST STE B |
| City | MONTGOMERY |
| State | NY |
| Zip Code | 12549-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265859862 | Pierre Janvier | Licensed Practical Nurse | 11 Pathway, Montgomery, NY 12549 | 2014-03-21 |
| 1932470796 | Patricia Luongo | Registered Nurse | 946 Route 17k, Berea Elementary School, Montgomery, NY 12549 | 2012-01-25 |
| 1124398730 | Gail E Nozell | Speech-Language Pathologist | 141 Union Street, Valley Central School District, Montgomery, NY 12549 | 2012-01-12 |
| 1437450731 | Phyllis Arlene Montanari | Music Therapist | 228 State Route 416, Montgomery, NY 12549 | 2010-11-03 |
| 1831416486 | Diane Leung-diliberto | Pharmacist | 105-a Ward Street, Montgomery, NY 12549 | 2010-04-22 |
| 1477792760 | Kelly Cole | Occupational Therapist | 31 Fernich Ct, Montgomery, NY 12549 | 2009-02-11 |
| 1710123898 | Simone Althea Ercoline | Speech-Language Pathologist | Valley Central School District, 944 State Route 17k, Montgomery, NY 12549 | 2008-12-19 |
| 1780836130 | Janice Mcgrath | Speech-Language Pathologist | 215 Freida Street, Montgomery, NY 12549 | 2008-10-16 |
| 1720239643 | Gregory Bicknell | Nurse Practitioner | 940 Route 17k, Montgomery, NY 12549 | 2008-10-09 |
| 1023271764 | Kole Stewart Miller | Dentist | 2 Didio Ln, Montgomery, NY 12549 | 2008-07-02 |
| Find all providers in zip 12549 | ||||
| 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 |
|---|---|---|---|---|
| 1447814033 | Triple T Pharmacy LLC | Pharmacy | 461 Cotton Gin Rd Ste B, Montgomery, AL 36117-3558 | 2019-04-29 |
| 1114486800 | Jmjp Investments LLC | Pharmacy | 89 Boulder Hill Pass, Montgomery, IL 60538-1911 | 2019-03-13 |
| 1750853529 | Aim 2016, Inc | Pharmacy | 7212 Halcyon Park Dr, Montgomery, AL 36117-7717 | 2018-12-18 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1124468210 | Montgomery Drug Company Inc. | Pharmacy | 1633 Perry Hill Rd, Montgomery, AL 36106-2729 | 2013-07-03 |
| 1508042086 | Hudson Valley Ltc Pharmacy Inc | Pharmacy | 105 Ward St Ste A, Montgomery, NY 12549-1150 | 2008-01-15 |
| 1851427850 | Walgreen Co | Pharmacy | 2920 Carter Hill Rd, Montgomery, AL 36106-2531 | 2007-02-26 |
| 1659446904 | Montgomery Drug Company Inc | Pharmacy | 37 Mitchell Dr, Montgomery, AL 36109-2923 | 2006-11-22 |
| 1477624070 | Vel LLC | Pharmacy | 8189 Vaughn Rd, Montgomery, AL 36116-6705 | 2006-11-13 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 12549 |
Please comment or provide details below to improve the information on MONTGOMERY VILLAGE PHARMACY INC.
| 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.