Melissa Priyanthie Munagamagedon

Primary specialty

PharmacistTaxonomy code 183500000X

License

S026354 Issued in AZ

Practice address

9800 S Estrella Pkwy
Goodyear, AZ 85338-7141

Phone

(623) 255-3649

NPI assigned

Mar 9, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Goodyear, AZ
  • NPI 1770830341
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1093415754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23326 W PIMA ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853264042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 S ESTRELLA PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387141",
            "telephone_number": "623-255-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAGAMAGEDON",
        "first_name": "MELISSA",
        "middle_name": "PRIYANTHIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Mugisha
• Angela Muhammad, RN
• Mahnoor Mukarram, DO
• Tyler Von Mullen, OD
• Multicentric Solution, LLC
• Nicole Mundstock, OTR/L
• Inez Munoz, LPN
• Cameron Murphy
• Desmond Murphy
• Tolana Murphy, LPCC

• Pharmacist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.