Active NPI
William Luzendu Munguya, PHARMD
- Pharmacist
- Wichita, KS
National Provider Identifier
1811509789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-109768
- Practice address
- 803 N Broadway Ave
Wichita, KS 67214-3509 - Phone
- (316) 768-5450
- Fax
- (316) 768-5452
- NPI assigned
- Aug 20, 2020
- Last updated
- Dec 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-109768 | KS | Primary |
Addresses
Primary practice location
803 N Broadway Ave
Wichita, KS 67214-3509
Mailing address
1101 N Bedford Cir
Wichita, KS 67206-4354
Phone (316) 680-8867
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-109768 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
803 N Broadway Ave
Wichita, KS 67214
Phone (316) 768-5450
Organizations & group practices 2
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": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1811509789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N BEDFORD CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672064354",
"telephone_number": "316-680-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 N BROADWAY AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143509",
"telephone_number": "316-768-5450",
"fax_number": "316-768-5452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNGUYA",
"first_name": "WILLIAM",
"middle_name": "LUZENDU",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-20",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-109768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.