Mildred Muyang CHI, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

116789 Issued in MN

Practice address

1100 W Highway 10 NW
Kmart Pharmacy#3897
Anoka, MN 55303-2086

Phone

(763) 427-7699

Fax

(763) 712-8314

NPI assigned

Feb 11, 2010

Last updated

Feb 22, 2010By the provider in NPPES

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

Other names 1

• Miss Mildred Muyang Ndang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1841522182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 10 WEST",
            "address_2": "KMART PHARMACY #3897",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553036235",
            "telephone_number": "763-427-7699",
            "fax_number": "763-712-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W HIGHWAY 10 NW",
            "address_2": "KMART PHARMACY#3897",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032086",
            "telephone_number": "763-427-7699",
            "fax_number": "763-712-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "MILDRED",
        "middle_name": "MUYANG",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "116789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILDRED",
            "last_name": "NDANG",
            "middle_name": "MUYANG",
            "prefix": "MISS",
            "credential": "PHARM.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Anoka, MN
• Providers in Anoka, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.