MS. AVAYETTA M. MONTGUE (NPI# 1871893362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871893362 |
| Entity Type | Individual |
| Full Name | MS. AVAYETTA M. MONTGUE |
| Practice Address |
1322 E 8th St Pueblo CO 81001-3512 |
| Practice Telephone | 7195424801 |
| Mailing Telephone | 7195424801 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12803 | CO | Pharmacy Service Providers |
| Street Address |
1322 E 8TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679979009 | Anthony Reppas | Pharmacist | 1322 E 8th St, Pueblo, CO 81001-3512 | 2014-11-12 |
| 1720412406 | Ryan Jimenez | Pharmacist | 1322 E 8th St, Pueblo, CO 81001-3512 | 2013-08-29 |
| 1043511355 | Hanna Bezu Gurara | Pharmacist | 1322 E 8th St, Pueblo, CO 81001-3512 | 2010-11-03 |
| 1740580133 | Steve Peter Dombrowski | Pharmacist | 1322 E 8th St, Pueblo, CO 81001-3512 | 2010-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| 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 |
|---|---|---|---|---|
| 1861031502 | James Mark Faoro | Pharmacist | 27197 Torchey Way, Pueblo, CO 81006-9757 | 2019-12-28 |
| 1710445424 | Linda Jean Holzrichter | Pharmacist | 1925 E Orman Ave Ste 102, Pueblo, CO 81004-3500 | 2019-03-12 |
| 1225529811 | Megan Keller | Pharmacist | 30393 Everett Rd, Pueblo, CO 81006-9548 | 2018-05-20 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1285161802 | John David Buglewicz | Pharmacist | 1545 S Prairie Ave, Pueblo, CO 81005-2312 | 2017-05-13 |
| 1689114118 | Chandler Follett | Pharmacist | 4743 Eagleridge Cir Apt 305, Pueblo, CO 81008-2277 | 2017-03-02 |
| 1184174229 | Russell Smith | Pharmacist | 2114 Chatalet Ln Apt L, Pueblo, CO 81005-4602 | 2016-10-13 |
| 1134532377 | Karl Aguilera | Pharmacist | 10 Hampton Ln, Pueblo, CO 81001-1722 | 2014-06-05 |
| 1316218035 | Gregory Rice | Pharmacist | 41 Montebello Rd Ste 122, Pueblo, CO 81001-1366 | 2012-01-26 |
| 1023387206 | Adetola A Obiwole | Pharmacist | 4602 N Elizabeth Street Ste. 190, Pueblo, CO 81008-2093 | 2011-12-18 |
| Find all providers in PUEBLO | ||||
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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.