DR. NGALE NDIVA MONGOH (NPI# 1003054057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003054057 |
| Entity Type | Individual |
| Full Name | DR. NGALE NDIVA MONGOH |
| Credential | PHARM.D |
| Practice Address |
325 S. Hwy. 35 By Pass Port Lavaca TX 77979 |
| Mailing Address |
609 Mallette Dr # 525 Victoria TX 77904-3382 |
| Practice Telephone | 3615527486 |
| Mailing Telephone | 3615720777 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 46316 | TX | Pharmacy Service Providers |
| Street Address |
325 S. HWY. 35 BY PASS |
| City | PORT LAVACA |
| State | TX |
| Zip Code | 77979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719836 | Memorial Medical Center | Nursing Care | 118 Trinity Shores Drive, Port Lavaca, TX 77979 | 2019-09-18 |
| 1972083475 | Kelly Leigh Meyer | Occupational Therapy Assistant | Port Lavaca Nursing and Rehabilitation Center, 524 Village Rd, Port Lavaca, TX 77979 | 2018-08-15 |
| 1679943393 | Vrinda Mohunta | Dentist | 204 Tx-35, Port Lavaca, TX 77979 | 2015-10-07 |
| 1770999344 | Smile Experts Pllc | Dentist | 204 State Hwy 35 South, Port Lavaca, TX 77979 | 2014-07-03 |
| 1083927636 | Calhoun Home Health, LLC | Home Health | 1300 N Virginia St Ste 111, Port Lavaca, TX 77979 | 2010-07-23 |
| 1740423490 | Diana E. Garcia | Case Manager/Care Coordinator | 3272 U.S. Hwy 87, Port Lavaca, TX 77979 | 2009-04-10 |
| 1982844940 | Gillian V. Kwi | Dentist | 1112 Half League Rd, Port Lavaca, TX 77979 | 2009-03-03 |
| 1326248592 | Nichole Lynn Bruno | Nurse Practitioner | 1300 N. Virginia Street, Port Lavaca, TX 77979 | 2007-07-24 |
| 1518168855 | Calhoun County Senior Citizens Assoc. Inc. | Home Delivered Meals | 2104 W Austin St., Port Lavaca, TX 77979 | 2007-05-31 |
| 1275631954 | Mau Shong Lin | Internal Medicine | 1706 North Virginia Street, Port Lavaca, TX 77979 | 2006-09-20 |
| Find all providers in zip 77979 | ||||
| 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 |
|---|---|---|---|---|
| 1245392844 | Mabel Allene Hunt | Pharmacist | 1 B Virginia Pl, Port Lavaca, TX 77979-2510 | 2006-12-14 |
| 1871194241 | Edith Willett | Pharmacist | 400 Tiney Browning Blvd, Port Lavaca, TX 77979-5215 | 2020-11-03 |
| 1518567528 | Kidu G Tesfamichael | Pharmacist | 400 Tiney Browning Blvd, Port Lavaca, TX 77979-5215 | 2020-10-28 |
| 1710467634 | Valerie Anyssa Guerra | Pharmacist | 1302 N Virginia St, Port Lavaca, TX 77979-2509 | 2018-08-20 |
| 1659770758 | James Thomas Varughese | Pharmacist | 1302 N Virginia St, Port Lavaca, TX 77979-2509 | 2014-08-14 |
| 1932440112 | Julie Frankson | Pharmacist | 101 Calhoun Plz, Port Lavaca, TX 77979-2423 | 2013-03-12 |
| 1376882167 | Olive Edwina Botor | Pharmacist | 1302 N Virginia St, Port Lavaca, TX 77979-2509 | 2013-02-14 |
| 1386921393 | Phillip Yoo | Pharmacist | 1302 N Virginia St, Port Lavaca, TX 77979-2509 | 2011-11-04 |
| 1316105026 | Stephen A Branch | Pharmacist | 1202 N Virginia St, Port Lavaca, TX 77979-2507 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
| 1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
| 1033710876 | Vy Ngoc Tran | Pharmacist | 3726 Varna Ct, Missouri City, TX 77459-5510 | 2020-11-06 |
| 1912508748 | James E Branch | Pharmacist | 1565 Salado Trl, Weatherford, TX 76087-2162 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT LAVACA |
| Zip Code | 77979 |
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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.