Melissa Ann Bumgardner, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

4059 Issued in HI

Practice address

75-5751 Kuakini Hwy Ste 101a
Kailua Kona, HI 96740

Phone

(808) 326-5629

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kailua-Kona, HI
  • NPI 1952335630
  NPD
• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pahoa, HI
  • NPI 1861376907
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1790838654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401752",
            "telephone_number": "808-326-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 101A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-326-5629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 County Road 804",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "CO",
            "postal_code": "80442",
            "country_code": "US",
            "telephone_number": "970-726-6920",
            "fax_number": "970-726-6836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 County Road 804",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "CO",
            "postal_code": "80442",
            "country_code": "US",
            "telephone_number": "970-726-6920",
            "fax_number": "970-726-6836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMGARDNER",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MN",
            "license": "117907-9",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "HI",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yohanna L Bueno
• Gary Bernard Buff, ED.D.
• Emily Burkman, PA-C
• Jenny Mae Alas Buted, PT
• California Advanced Imaging Medical Associates, Inc.
• Nicole Camacho, MAT # 14948
• Cami Corp.

• Pharmacotherapy Pharmacist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Pharmacotherapy Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.