MONTGOMERY CANCER CENTER LLC (NPI# 1831296672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831296672 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY CANCER CENTER LLC |
| Other Organization Name | MCC APOTHECARY |
| Practice Address |
4145 Carmichael Rd Ste A Montgomery AL 36106-2803 |
| Practice Telephone | 3342732281 |
| Practice Fax Number | 3343862936 |
| Mailing Telephone | 3342732281 |
| Mailing Fax Number | 3343682936 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | LISA HARRISON (DIR OF PHCY) |
| Authorized Official Telephone | 3342732252 |
| Authorized Official Credential | RPH |
| 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 |
111763 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0130219 | 01 |
| Other Name | Type Code |
|---|---|
| MCC APOTHECARY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447452198 | Montgomery Cancer Center LLC | Durable Medical Equipment & Medical Supplies | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2007-06-04 |
| 1437351186 | Montgomery Cancer Center LLC | Durable Medical Equipment & Medical Supplies | 1023 Medical Center Pkwy, Suite 110, Selma, AL 36701-6780 | 2007-06-04 |
| 1144422890 | Montgomery Cancer Center LLC | Durable Medical Equipment & Medical Supplies | 645 Mcqueen Smith Rd N, Suite 109, Prattville, AL 36066-7268 | 2007-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Montgomery Cancer Center LLC | 3700 S Main St, Blacksburg, Virginia 24060 |
| Street Address |
4145 CARMICHAEL RD STE A |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693588 | Melissa English | Family Medicine | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2005-07-15 |
| 1265051635 | Shayne Kreutzer | Pharmacist | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2020-04-15 |
| 1093374985 | Katie Michelle Strickland | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2019-06-13 |
| 1669039194 | Ashley Lauren Rhye | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2019-05-20 |
| 1821563768 | Sharon E Reynolds | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2018-10-08 |
| 1811425135 | Christalyn Jones Williams | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-3657 | 2017-05-31 |
| 1013302918 | Brett Driver | Pharmacist | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2015-03-30 |
| 1417367582 | Jennifer M Conner | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2014-04-29 |
| 1972948032 | Kristen T Osborne | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2013-05-02 |
| 1639429426 | Catherine Wren Roberts | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2012-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| 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 | 36106 |
Please comment or provide details below to improve the information on MONTGOMERY CANCER CENTER LLC.
| 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.