Jude Mundi Fondoh, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

63929 Issued in TX

Practice address

3404 Indiana Ave
Lubbock, TX 79413-2302

Phone

(806) 792-7531

NPI assigned

Aug 14, 2020

Sex

Male

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

Practice roles

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.

• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  dba Walgreens #04821

  • Pharmacy
  • Lubbock, TX
  • NPI 1861407801
  NPD (past)

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1992316616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 102ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794235007",
            "telephone_number": "937-312-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794132302",
            "telephone_number": "806-792-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDOH",
        "first_name": "JUDE",
        "middle_name": "MUNDI",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "63929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Florez, MD
• Lissa Flory McDonald, AG-ACNP BC
• Addie Marie Pederson Flowers
• Benjamin Lloyd Fluhman, D.P.M.
• Anthony Shawn Fogerson, OTR
• Kayla Fonken
• Dustin Ray Fontana
• Lindsey Taylor Foote, SLP
• Jeremy Forbus
• Autumn Ford, RN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.