MONTICELLO DRUGS, INC (NPI# 1124168786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124168786 |
| Entity Type | Organization |
| Organization Name | MONTICELLO DRUGS, INC |
| Other Organization Name | MONTICELLO DRUGS |
| Practice Address |
679 W Washington St Monticello GA 31064-1371 |
| Mailing Address |
Po Box 435 Monticello GA 31064-0435 |
| Practice Telephone | 7064686836 |
| Practice Fax Number | 7064681973 |
| Mailing Telephone | 7064686836 |
| Mailing Fax Number | 7064681973 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | DR. DAVID K LEACH (PRESIDENT) |
| Authorized Official Telephone | 7064686836 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 183500000X | Pharmacist | PHRE004902 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000032271A | 05 |
| Other Name | Type Code |
|---|---|
| Monticello Drugs | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 228 Forsyth St, Monticello, GA 310641210 | 7064686836 | 7064681973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174558688 | Monticello Drugs, Inc | Durable Medical Equipment & Medical Supplies | 109 W Main St, Monticello, IL 61856-1967 | 2006-07-12 |
| Street Address |
679 W WASHINGTON ST |
| City | MONTICELLO |
| State | GA |
| Zip Code | 31064-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217384 | David Keith Leach | Pharmacist | 679 W Washington St, Monticello, GA 31064-1371 | 2019-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568935757 | Neighborcare Pharmacy | Pharmacy | 3 Short St., Monticello, GA 31064 | 2019-01-10 |
| 1932563178 | Mary Catherine Sikes | Specialist/Technologist | 126 Hwy 212 West, Monticello, GA 31064 | 2016-04-13 |
| 1801018288 | Griswold Chiropractic | Chiropractor | 111 W. Washington St, Monticello, GA 31064 | 2007-05-03 |
| 1881733392 | Garrett Medical Supplies | Durable Medical Equipment & Medical Supplies | 126 Greene Street, Montilcello, GA 31064 | 2007-02-05 |
| 1629189212 | Stephen R Griswold | Chiropractor | 111 West Washington St, Monticello, GA 31064 | 2006-08-31 |
| 1144293457 | Jamie Alan Mitchell | Dentist | 458 W Washington St, Monticello, GA 31064 | 2006-02-08 |
| 1295738722 | Shannon T Barton | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2005-05-30 |
| 1093011314 | W Kenny Blake Md LLC | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2011-02-03 |
| 1811293137 | Shannon T. Barton Md LLC | Family Medicine | 545 Venture Court, Monticello, GA 31064 | 2011-02-03 |
| 1609859818 | Jasper County Emergency Medical Service | Ambulance | 185 Highway 212 W, Monticello, GA 31064-0000 | 2005-11-22 |
| Find all providers in zip 31064 | ||||
| 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 |
|---|---|---|---|---|
| 1548860265 | Clinton Brad Wilson | Pharmacist | 650 Hiawatha Farms Rd, Monticello, FL 32344-0821 | 2020-10-30 |
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1487139291 | Gordon Elvis Parmley | Pharmacist | 198 Dockview Rd, Monticello, KY 42633-5499 | 2018-09-27 |
| 1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
| 1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
| 1376077792 | Kristin Mary Theisen | Pharmacist | 12099 Blackwood Ave Nw, Monticello, MN 55362-3300 | 2017-04-12 |
| 1700326774 | Katie Peterich Head | Pharmacist | 349 E Bluebird Rd, Monticello, FL 32344-6744 | 2017-02-24 |
| 1760939755 | Frances Surles | Pharmacist | 1247 S Jefferson St, Monticello, FL 32344-7803 | 2016-09-07 |
| 1902211550 | Laura Ann Roberts | Pharmacist | 978 N Main St, Monticello, KY 42633-1500 | 2014-06-23 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 31064 |
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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.