JAYSON ALLAN MONTGOMERY (NPI# 1255998928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255998928 |
| Entity Type | Individual |
| Full Name | JAYSON ALLAN MONTGOMERY |
| Practice Address |
1408 N 16th St Orange TX 77630-3612 |
| Mailing Address |
4903 Engle Forest Cir Humble TX 77346-4413 |
| Practice Telephone | 4098830876 |
| Mailing Telephone | 2812294521 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 63307 | TX | Pharmacy Service Providers |
| Street Address |
1408 N 16TH ST |
| City | ORANGE |
| State | TX |
| Zip Code | 77630-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972518074 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1408 N 16th St, Orange, TX 77630-3612 | 2006-07-29 |
| 1942718523 | Harris Achidi Yango | Pharmacist | 1408 N 16th St, Orange, TX 77630-3612 | 2018-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685159 | Healthcare Warehouse, LLC | Durable Medical Equipment & Medical Supplies | 3515 Mockingbird St. Ste C, Orange, TX 77630 | 2014-02-19 |
| 1346688637 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1302 Cypress St., Orange, TX 77630 | 2013-06-07 |
| 1740567510 | Mary Cannatella | Pharmacist | 1408 16th Street, Orange, TX 77630 | 2011-11-08 |
| 1811292642 | Inlightened Safe Haven | Contractor | 828 Nth 28th St., Orange, TX 77630 | 2011-01-26 |
| 1437472107 | Frank's Medical Mart, Inc | Durable Medical Equipment & Medical Supplies | 1619 Strickland Dr, Orange, TX 77630 | 2010-03-09 |
| 1952427403 | Assisted Living Concepts Inc | Assisted Living Facility | 5301 Meeks Drive, Orange, TX 77630 | 2007-03-22 |
| 1013033364 | Ronda Lynn Hathaway | Psychologist | 2495 N Mlk Dr, Orange, TX 77630 | 2007-03-21 |
| 1487790333 | The Eye Place, Inc. | Eyewear Supplier (Equipment, not the service) | 1502 Strickland Dr Ste 2, Orange, TX 77630 | 2007-01-29 |
| 1538220710 | Sheila R Cole | Nurse Practitioner | 2014 N.10th St., Orange, TX 77630 | 2006-12-12 |
| 1063583896 | Nina P Scales Leifeste | Dentist | 1509 Burton, Orange, TX 77630 | 2006-11-13 |
| Find all providers in zip 77630 | ||||
| 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 |
|---|---|---|---|---|
| 1013514314 | Ali Shishehgar | Pharmacist | 132 S Anita Dr Ste 310, Orange, CA 92868-3317 | 2020-10-08 |
| 1184221822 | Amando Cruz Martin Jr. | Pharmacist | 132 S Anita Dr Fl 2, Orange, CA 92868-3317 | 2020-10-06 |
| 1205433810 | Tony Hieu La | Pharmacist | 132 S Anita Dr Ste 210, Orange, CA 92868-3317 | 2020-10-06 |
| 1487261038 | Johnny Brooks Tune Jr. | Pharmacist | 130 W. Main St, Orange, VA 22960 | 2020-09-28 |
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1578033783 | Yousef Samir Billeh | Pharmacist | 705 E Vista Del Playa Ave, Orange, CA 92865-3437 | 2018-11-30 |
| 1790263309 | Bhuvaneswari Potti | Pharmacist | E & M Pharmacy, 205 S Essex Ave, Orange, NJ 07050 | 2018-08-06 |
| 1114415866 | Stephanie Kim | Pharmacist | 8312 E Hillsdale Dr, Orange, CA 92869-2445 | 2018-04-27 |
| Find all providers in ORANGE | ||||
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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.