Individual provider Active NPI

Christian Muenyi, PHARM.D

  • Pharmacist
  • Walls, MS
National Provider Identifier
1144625369
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-13620 Issued in MS
Practice address
5840 Cedar Lake Drive N
Walls, MS 38680
Phone
(423) 426-2818
NPI assigned
Oct 30, 2014
Last updated
Oct 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-13620 MS Primary
Pharmacist 183500000X 0000038677 TN

Addresses

Primary practice location

5840 Cedar Lake Drive N
Walls, MS 38680

Mailing address

5840 Cedar Lake Dr N
Walls, MS 38680-9488
Phone (423) 426-2818

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-13620MSMDPharmacist
0000038677TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1144625369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CEDAR LAKE DR N",
            "city": "WALLS",
            "state": "MS",
            "postal_code": "386809488",
            "telephone_number": "423-426-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 CEDAR LAKE DRIVE N",
            "city": "WALLS",
            "state": "MS",
            "postal_code": "38680",
            "telephone_number": "423-426-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUENYI",
        "first_name": "CHRISTIAN",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-13620",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000038677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walls, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.