Individual provider Active NPI

Ganiyu Mumuney, RPH

  • Pharmacist
  • Salisbury, MD
National Provider Identifier
1609631126
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11046 Issued in MD
Practice address
1207 Mount Hermon Rd
Salisbury, MD 21804-5111
Phone
(410) 749-5900
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11046 MD Primary

Addresses

Primary practice location

1207 Mount Hermon Rd
Salisbury, MD 21804-5111

Mailing address

1212 Lochwood Cir
Salisbury, MD 21804-3931
Phone (678) 591-2976

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11046MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Civic Health Services LLC PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1609631126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 LOCHWOOD CIR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218043931",
            "telephone_number": "678-591-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 MOUNT HERMON RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045111",
            "telephone_number": "410-749-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMUNEY",
        "first_name": "GANIYU",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "11046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.