Douglas W. Mundy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY22386 Issued in CA

Legal business name

DOUGLAS W. MUNDY

Doing business as

Tahoe Valley Pharmacy

Practice address

2074 Lake Tahoe Blvd.
Ste. #1
South Lake Tahoe, CA 96150

Phone

(530) 541-0870

Fax

(530) 541-0884

NPI assigned

Oct 2, 2006

Last updated

Jul 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Douglas W Mundy, R.PH.

Title

Owner/Pharmacist

Phone

(530) 541-0870

Specialties & licenses 1

Addresses

Other names 1

• Tahoe Valley Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1841384336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD.",
            "address_2": "STE. #1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-541-0870",
            "fax_number": "530-541-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD.",
            "address_2": "STE. #1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-541-0870",
            "fax_number": "530-541-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS W. MUNDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "530-541-0870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY22386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tahoe Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Digrande
• Julia Deborah Dirnu
• Leeroy Dixon
• Casey Donahue
• Justin Brent Dorn, DPT
• William Arthur Downey, OD
• Michael Phillip Doyle, MEDICAL DOCTOR
• Elizabeth Drabant
• Cheryl Drake, L.AC.
• Drew Nicolas Dunbar

• Community/Retail Pharmacy in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.