MELISSA ANN BUMGARDNER (NPI# 1790838654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790838654 |
Entity Type | Individual |
Full Name | MELISSA ANN BUMGARDNER |
Credential | PHARM.D. |
Practice Address |
75-5751 Kuakini Hwy Ste 101a Kailua Kona HI 96740 |
Mailing Address |
75-5751 Kuakini Hwy Kailua Kona HI 96740-1752 |
Practice Telephone | 8083265629 |
Mailing Telephone | 8083265629 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2019-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
117907-9 | MN | Pharmacy Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
40 County Road 804, Fraser, CO 80442 | 9707266920 | 9707266836 |
Street Address |
75-5751 KUAKINI HWY STE 101A |
City | KAILUA KONA |
State | HI |
Zip Code | 96740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184629669 | C Eric Lindborg | Emergency Medicine | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2005-06-20 |
1386243285 | Katherine Stene | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2020-10-21 |
1972154797 | Cassandra Travers | Nurse Practitioner | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2019-09-23 |
1336671692 | Brooks Kv Hammond | Physician Assistant | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740 | 2017-03-28 |
1528503232 | Marina M O'brien-gamble | Nurse Practitioner | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2017-01-04 |
1114302866 | Brandon S Kang | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2015-07-23 |
1730567173 | Aren J Thompson | Family Medicine | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740 | 2015-05-18 |
1144519489 | Suzanne Kay Leter | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740 | 2011-04-06 |
1164727079 | Victoria Kay Hanes | Psychologist | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2011-01-24 |
1063461168 | Kathleen J Gorman | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2006-05-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
Find all providers in zip 96740 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962022954 | Jason Akira Okazaki | Pharmacist | 75-1015 Henry St, Kailua Kona, HI 96740-1681 | 2020-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083025829 | Mervin Lum | Pharmacist | 4850 Kapolei Pkwy, Kapolei, HI 96707-3203 | 2014-05-14 |
1427296995 | Supakit Wongwiwatthananukit | Pharmacist | 50 Maile St Apt A22, Hilo, HI 96720-4381 | 2009-01-21 |
1306998570 | Ramona Keiko Lee Corson | Pharmacist | 80 Mahalani Street, Kaiser Wailuku Clinic, Wailuku, HI 96793 | 2007-01-17 |
1003968298 | Ross T. Takara | Pharmacist | 2828 Paa St Ste 2420b, Honolulu, HI 96819-4405 | 2007-01-17 |
1295887933 | Sylvia K. Shimonishi | Pharmacist | 501 Alakawa St Ste 101, Pharmacy Administration, Honolulu, HI 96817-5700 | 2007-01-16 |
1174597900 | Debora S Chan | Pharmacist | Mchk-pe Department of Pediatrics, 1 Jarrett White Road, Tripler Amc, HI 96859-5000 | 2006-02-16 |
1245852987 | Christopher Lai Hipp | Pharmacist | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2020-05-16 |
1295230464 | Sabrina Allen | Pharmacist | 45-710 Keaahala Rd, Kaneohe, HI 96744-3528 | 2018-03-28 |
1881036242 | Kesha T Morgan | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2013-07-25 |
1689929473 | Caitrin E Vordtriede | Pharmacist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2012-07-17 |
Find all providers with the same taxonomy |
City | KAILUA KONA |
Zip Code | 96740 |
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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.