DR. VICTOR LUSIMBYA MUKUNGU (NPI# 1114236502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114236502 |
| Entity Type | Individual |
| Full Name | DR. VICTOR LUSIMBYA MUKUNGU |
| Credential | PHARM-D |
| Practice Address |
1327 Meadowlark Dr Winston Salem NC 27106-9817 |
| Practice Telephone | 3369227066 |
| Practice Fax Number | 3369249433 |
| Mailing Telephone | 3369227066 |
| Mailing Fax Number | 3369249433 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 18023 | MD | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 18454 | NC | Pharmacy Service Providers |
| Street Address |
1327 MEADOWLARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-9817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962688598 | Walgreen Co. | Pharmacy | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2008-01-14 |
| 1508136722 | Whitney B Ray | Pharmacist | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2012-01-04 |
| 1952670119 | Mary Helen Adams | Pharmacist | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2011-12-17 |
| 1700168739 | Kenneth C Becker | Pharmacist | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2011-09-15 |
| 1619279122 | Nelli Simonian Amosah | Pharmacist | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2010-12-03 |
| 1114234861 | Brian Lucas | Pharmacist | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2010-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| 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 |
|---|---|---|---|---|
| 1437797297 | Jay Amin | Pharmacist | 925 Brannigan Village Dr, Winston Salem, NC 27127-4894 | 2019-12-11 |
| 1447895768 | Alyssa Paige Stewart | Pharmacist | 500 Shepherd St Ste 300, Winston Salem, NC 27103-1633 | 2019-11-11 |
| 1851933048 | Orin L Autry | Pharmacist | 110 Milnor Pl, Winston Salem, NC 27104-1836 | 2019-10-09 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1265091607 | Nancy Fitzgerald Myers | Pharmacist | Medical Center Blvd North Tower, Winston Salem, NC 27157-0001 | 2019-06-10 |
| 1447769708 | Jessica Marie Smith | Pharmacist | 1 Medical Center Blvd Department of Pharmacy, Winston Salem, NC 27157-0001 | 2017-09-29 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1831636604 | Brooke Miller Masten | Pharmacist | 3917 Westpoint Blvd Ste A, Winston Salem, NC 27103-6723 | 2017-01-31 |
| 1821453069 | David Michael Vaughan | Pharmacist | 4340 Old Lexington Rd, Winston Salem, NC 27107-9408 | 2015-12-15 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
Please comment or provide details below to improve the information on DR. VICTOR LUSIMBYA MUKUNGU.
| 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.