Debra Showalter Mundie, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202006407 Issued in VA

Practice address

3381 Phillis Boulevard
Department of Veterans Affairs Primary Care Clinic
Myrtle Beach, SC 29577

Phone

(843) 477-0177

Fax

(843) 232-2428

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1750427985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 SARASOTA ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295774740",
            "telephone_number": "843-444-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 PHILLIS BOULEVARD",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS PRIMARY CARE CLINIC",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-477-0177",
            "fax_number": "843-232-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDIE",
        "first_name": "DEBRA",
        "middle_name": "SHOWALTER",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202006407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyse Moyer, PA-C
• Breana Mroz
• Ariel Muhs, M.S. CF-SLP
• Courtney Lynn Mullaney, CRNA
• Nyein Wint Mullenniex, CAA
• Michael Ryan Munn, D.M.D.
• Louis D Murden, LISW
• Horatiu Muresan, M.D.
• Dena Muri, PA-C
• David Wayne Murphy, M.D.

• Pharmacist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.