DR. KIMBERLY DAWN MONTGOMERY (NPI# 1972148484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972148484 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY DAWN MONTGOMERY |
| Credential | PHARMD-RPH |
| Practice Address |
809 S 25 Mile Ave Hereford TX 79045-4801 |
| Practice Telephone | 8063643400 |
| Practice Fax Number | 8063643405 |
| Mailing Telephone | 8063643400 |
| Mailing Fax Number | 8063643405 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
42537 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHARMACY LICENSE | 42537 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396279501 | Kimberly Montgomery | Counselor | 613 Burton St, Aliquippa, PA 15001-3005 | 2017-04-13 |
| 1568802940 | Kimberly Dawn Montgomery | Clinical Nurse Specialist | 1400 8th Ave Bldg C, Suite 3001, Ft Worth, TX 76104-4110 | 2013-06-28 |
| 1821170861 | Kimberly G Montgomery | Psychologist | 11805 North Pennsylvania Street, Carmel, IN 46032-4555 | 2006-10-19 |
| 1578545786 | Kimberly Piche Montgomery | Counselor | 3522 Webster Rd, Blue Ridge, VA 24064-1980 | 2005-11-15 |
| 1306311436 | Kimberly Montgomery | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-04 |
| 1780180554 | Kimberly Montgomery | Peer Specialist | 1014 Walla Walla Ave, Wenatchee, WA 98801-1523 | 2018-04-02 |
| 1508254376 | Kimberly Montgomery | Registered Nurse | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-01-02 |
| 1952559411 | Kimberly D Montgomery | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2008-09-08 |
| 1427215607 | Kimberly A. Montgomery | Registered Nurse | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2008-05-16 |
| 1013979228 | Kimberly Montgomery | Nurse Practitioner | 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368 | 2006-04-04 |
| Street Address |
809 S 25 MILE AVE |
| City | HEREFORD |
| State | TX |
| Zip Code | 79045-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447473012 | Brent Lane Dance | Pharmacist | 809 S 25 Mile Ave, Hereford Pharmacy, Hereford, TX 79045-4801 | 2007-04-11 |
| 1588010037 | Hereford Pharmacy, LLC | Pharmacy | 809 S 25 Mile Ave, Hereford, TX 79045-4801 | 2016-05-13 |
| 1174782825 | Hereford Pharmacy, LLC | Pharmacy | 809 S 25 Mile Ave, Hereford, TX 79045 | 2008-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386848471 | Strategic Care of Hereford, LLC. | Skilled Nursing Facility | 231 Kingwood Street, Hereford, TX 79045 | 2007-06-12 |
| 1700965431 | Rick Roden Dds Inc | Dentist | 129 W 5th, Hereford, TX 79045 | 2006-11-03 |
| 1417054917 | Cvs Pharmacy Inc | Pharmacy | 101 West Park Ave, Hereford, TX 79045 | 2006-09-20 |
| 1396737466 | Carolyn S Jansa | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2005-08-16 |
| 1376941682 | Kameshkumar Patel | Dentist | 701 N 25 Mile Ave, Smile Accent Pllc, Hereford, TX 79045 | 2014-12-18 |
| 1447392303 | Mary Jessica Mertins | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2007-02-13 |
| 1780723791 | Trevor Rohm | Emergency Medicine | 540 W 15th St, Hereford, TX 79045 | 2007-02-06 |
| 1043273873 | Sean Daryl Wengroff | Obstetrics & Gynecology | 540 W 15th St, Hereford, TX 79045 | 2006-04-11 |
| 1285600957 | John E Hartin | Nurse Anesthetist, Certified Registered | 540 W 15th St, Hereford, TX 79045 | 2006-02-23 |
| 1053301234 | Carmen B Flood | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2005-10-27 |
| Find all providers in zip 79045 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497813 | Cindy Layton Potter | Pharmacist | 400 Myrtle St, Nacogdoches, TX 75965-2652 | 2020-11-05 |
| 1306446398 | Claud Cameron | Pharmacist | 23552 Nameless Rd, Leander, TX 78641-9022 | 2020-10-28 |
| 1306445234 | Chloe Lee | Pharmacist | 4620 Sh 121, Lewisville, TX 75056-4530 | 2020-10-21 |
| 1205435195 | Scott Sadlowski | Pharmacist | 12605 I-45 N, Willis, TX 77318 | 2020-10-21 |
| 1891394102 | Shaunda Lynn Jackson | Pharmacist | 19250 W Lake Houston Pkwy, Humble, TX 77346-2279 | 2020-10-19 |
| 1841898251 | Pablo Reyna Castro | Pharmacist | 3100 S Gordon St, Alvin, TX 77511-4790 | 2020-10-16 |
| 1659979078 | Tina Teresa Cherian | Pharmacist | 341 S Loop 336 W, Conroe, TX 77304-3309 | 2020-10-16 |
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1396350666 | Patient Care Services Pharmacy Consulting, LLC | Pharmacist | 2000 N Central Expy Ste 214, Plano, TX 75074-5487 | 2020-09-13 |
| 1942813209 | Mountaineer Consultants LLC | Pharmacist | 933 Pellegrino Ave, El Paso, TX 79932-2063 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.