Amy Mgonja, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P5813 Issued in ID

Practice address

8921 W Hackamore Dr
Boise, ID 83709-1673

Phone

(208) 994-4123

Fax

(800) 431-6309

NPI assigned

Nov 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Pharmacy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIBDDD

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.

• Durham Family Medicine, PLLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1215714084
  NPD
• Northwest Occupational Medicine & Neurosurgical Spine Institute LLC

  • Occupational Medicine Clinic/Center
  • Boise, ID
  • NPI 1619539897
  NPD

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1306090980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 W HACKAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091673",
            "telephone_number": "208-994-4123",
            "fax_number": "800-431-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 W HACKAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091673",
            "telephone_number": "208-994-4123",
            "fax_number": "800-431-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MGONJA",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "ID",
            "license": "P5813",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meegan Allen Meyers, RPH
• Sara Meyrovich, COTA/L
• Julie Anne Meza, CRC, LPC
• Lauren Meziere, PA-C
• Melissa Ann Mezo, LCSW
• Peter Mgonja
• James Mhoon, MS
• Michael Chippolla LCSW Acadc LLC
• Michael E. Estess
• Michael E. Estess, M. D. Chartered

• Pharmacist in Boise, ID
• Providers in Boise, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.