Healthcare Provider Details

I. General information

NPI: 1932664034
Provider Name (Legal Business Name): PRESCRIPTION READY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 SAWYER RANCH RD STE 104
DRIPPING SPRINGS TX
78620-5514
US

IV. Provider business mailing address

PO BOX 92123
AUSTIN TX
78709-2123
US

V. Phone/Fax

Practice location:
  • Phone: 512-861-5755
  • Fax: 512-551-9234
Mailing address:
  • Phone: 512-861-5755
  • Fax: 512-551-9234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES WALLACE MONTGOMERY
Title or Position: MANAGING OFFICER
Credential: CPHT
Phone: 512-861-5755