Individual provider Active NPI

Mary Wambui Ndungu

  • Pharmacist
  • Saint Louis, MO
National Provider Identifier
1124935150
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2026040890 Issued in MO
Practice address
5503 Delmar Blvd Ste B
Saint Louis, MO 63112-3122
Phone
(314) 200-5313
Fax
(314) 200-0313
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2026040890 MO Primary

Addresses

Primary practice location

5503 Delmar Blvd Ste B
Saint Louis, MO 63112-3122

Mailing address

328 Chapel Ridge Dr Unit D
Hazelwood, MO 63042-2650
Phone (314) 200-5313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1124935150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 CHAPEL RIDGE DR UNIT D",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422650",
            "telephone_number": "314-200-5313",
            "fax_number": "314-200-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 DELMAR BLVD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123122",
            "telephone_number": "314-200-5313",
            "fax_number": "314-200-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUNGU",
        "first_name": "MARY",
        "middle_name": "WAMBUI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2026040890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.