DR. JAMES PENNINGTON MUNDY JR. (NPI# 1063027779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063027779 |
| Entity Type | Individual |
| Full Name | DR. JAMES PENNINGTON MUNDY JR. |
| Credential | PHARMD |
| Practice Address |
2817 Reilly St Fort Bragg NC 28310-7394 |
| Practice Telephone | 9109078922 |
| Practice Fax Number | 9109076069 |
| Mailing Telephone | 9109078922 |
| Mailing Fax Number | 9109076069 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11403 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117596 | James Rufus Mundy | Physical Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-10 |
| Street Address |
2817 REILLY ST |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-7394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022874 | Victoria Hoang-mai O'shea | Pharmacist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2005-09-09 |
| 1831799063 | Samantha Macchio | Optometrist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-10-27 |
| 1548869126 | Carolyn Smith | Registered Nurse | 2817 Reilly St, Fort Bragg, NC 28310-7301 | 2020-10-23 |
| 1114534666 | Lister Hokanson | Pharmacist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-09-29 |
| 1689289118 | Joseph Stephen Wise | Physical Therapist | 2817 Reilly St, Fort Bragg, NC 28310-7394 | 2020-09-11 |
| 1548873003 | James Coleman V | Nurse Anesthetist, Certified Registered | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-08-25 |
| 1740893171 | Thomas William Woodroof | Nurse Anesthetist, Certified Registered | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-08-25 |
| 1740892389 | Roger Wayne Webb | Nurse Anesthetist, Certified Registered | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-08-17 |
| 1144838517 | Josephine Kariuki | Family Medicine | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-07-21 |
| 1992323935 | Kelsey L Hogsett | Physician Assistant | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| 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 |
|---|---|---|---|---|
| 1952956518 | Ira Ron Barefoot | Pharmacist | Womack Outpatient Pharmacy 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2019-08-09 |
| 1578008967 | Anne Marie Beaty | Pharmacist | 1722 Gruber Rd, Fort Bragg, NC 28310-7901 | 2016-12-21 |
| 1033524087 | Mallory Diane Lambeth Howard | Pharmacist | 5-4275 Bastogne Ext, Fort Bragg, NC 28310-3424 | 2014-06-29 |
| 1588088603 | Sherry L Lamberth | Pharmacist | 4-2817 Reilly Road, Stop A, Fort Bragg, NC 28310-7394 | 2014-02-10 |
| 1891134060 | Emily Marie Rowley | Pharmacist | 2817 Reilly Rd Wamc Stop A, Fort Bragg, NC 28310 | 2013-06-20 |
| 1326325218 | Emily Flanagan | Pharmacist | 1722 Tagaytay Dr, Fort Bragg, NC 28310-6399 | 2011-11-07 |
| 1598096984 | Amanda Louise Hawks | Pharmacist | 2813 Reilly Rd, Fort Bragg, NC 28310-0001 | 2010-01-25 |
| 1457521247 | Jessica Marie Dicks | Pharmacist | 2817 Reilly Road Wamc Stop A, Womack Army Medical Center, Fort Bragg, NC 28310 | 2008-03-07 |
| 1437129616 | Lisa W Farmer | Pharmacist | 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2006-01-23 |
| 1225022874 | Victoria Hoang-mai O'shea | Pharmacist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2005-09-09 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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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.