Individual provider Active NPI

Amy Mumaugh, PHARMD

  • Pharmacist
  • Crown Point, IN
National Provider Identifier
1669057733
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26020132A Issued in IN
Practice address
12755 Pennsylvania St
Crown Point, IN 46307-7568
Phone
(219) 775-7567
NPI assigned
Mar 10, 2021
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26020132A IN Primary

Addresses

Primary practice location

12755 Pennsylvania St
Crown Point, IN 46307-7568

Mailing address

12755 Pennsylvania St
Crown Point, IN 46307-7568
Phone (219) 775-7567

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
26020132AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1669057733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12755 PENNSYLVANIA ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077568",
            "telephone_number": "219-775-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 PENNSYLVANIA ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077568",
            "telephone_number": "219-775-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMAUGH",
        "first_name": "AMY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26020132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.