Dylan Montgomery, PharmD
Pharmacist in Wichita, KS. Individual provider (NPI-1).
NPI number1104636737
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1104636737
- Entity type
- Individual (NPI-1)
- Name
- Dylan Montgomery
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2025
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 1-112777 | KS | Yes |
Practice location
9211 E 21st St NWichita, KS 67206-2900
Phone 316-609-4501
Mailing address
9211 E 21st St NWichita, KS 67206-2900
Phone 316-609-4501
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 386 Pharmacist providers in Wichita · All 13,560 providers in Wichita
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