Keomingmeuang Alexandria Munnicha is a Pharmacist practicing in West Lafayette, Indiana. The National Provider Identifier (NPI) is #1710862628, which was assigned on August 8, 2025, and the registration record was last updated on August 26, 2025. The practitioner's main practice location is at 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501; the contact telephone number is 7654488100. The primary taxonomy of Keomingmeuang Alexandria Munnicha is Pharmacist (183500000X). Keomingmeuang Alexandria Munnicha is licensed to practice in the state of Indiana (#26031420A).
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
| NPI | 1710862628 |
| Entity Type | Individual |
| Provider Name | KEOMINGMEUANG ALEXANDRIA MUNNICHA |
| Gender | Female |
| Credential | PHARMD |
| Practice Address |
253 Sagamore Pkwy W West Lafayette IN 47906-1501 |
| Practice Telephone | 7654488100 |
| Mailing Address |
4393 Osprey Dr Columbus IN 47203-1779 |
| Mailing Telephone | 8123141607 |
| Certification Date | 2025-08-26 |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-26 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26031420A | IN |
| Code | 183500000X |
| Taxonomy | Pharmacist |
| Classification | Pharmacist |
| Grouping | Pharmacy Service Providers |
| Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
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| Zewdie Chanyalew Ayenew | 4650 E Ponce De Leon Ave Apt J2, Clarkston, GA 30021-1940 | Pharmacist | 2026-04-11 |
| Teeja Jose | 7600 Beechnut St, Houston, TX 77074-4302 | Pharmacist | 2026-04-11 |
| Lydia Lowe | 300 N 7th St, Bismarck, ND 58501-4439 | Pharmacist | 2026-04-11 |
| Kristin Devlin | 2 Gansevoort St, New York, NY 10014-1665 | Pharmacist | 2026-04-11 |
| Rupanshi Malik | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | Pharmacist | 2026-04-11 |
| Elena Abigail Vasquez | 4101 Fairmont Pkwy, Pasadena, TX 77504-3301 | Pharmacist | 2026-04-10 |
| Manya E Sarram | 500 Pasteur Dr Rm J016, Palo Alto, CA 94304-1048 | Pharmacist | 2026-04-10 |
| John Powell Jr. | 1265 Ambler Ave, Abilene, TX 79601-2371 | Pharmacist | 2026-04-10 |
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| Street Address |
253 SAGAMORE PKWY W |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906-1501 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Megan Ishikawa | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | Family Medicine Physician | 2017-04-22 |
| Allison Laree Andrews | 253 Sagamore Pkwy W, Lafayette, IN 47906-1501 | Acute Care Nurse Practitioner | 2018-09-28 |
| Brian Fabries | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | Athletic Trainer | 2017-05-25 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Rebekah Mazanowski | 3000 Kent Ave, West Lafayette, IN 47906-1184 | Case Manager/Care Coordinator | 2026-01-13 |
| Swati Thakur | 3353 Peppermill Dr, West Lafayette, IN 47906-1081 | Health & Wellness Coach | 2026-02-21 |
| Kelsey Elaine Manning | 3595 Sagamore Pkwy N. Suite 5, West Lafayette, IN 47906 | Behavioral Analyst | 2025-11-24 |
| Avalon Rose Sterkenburg | 3595 Sagamore Pkwy N. Suite 5, West Lafayette, IN 47906 | Behavior Technician | 2025-11-18 |
| Eowyn Faith Webb | 3482 Mcclure Avenue, West Lafayette, IN 47906 | Behavior Technician | 2025-08-19 |
| Taylor Rocconi | 3636 Cavendish Ct, West Lafayette, IN 47906-0813 | Behavior Technician | 2025-03-06 |
| Alexis Jade Lewin | 3595 Sagamore Pkwy N. Suite 5, West Lafayette, IN 47906 | Behavior Technician | 2025-11-18 |
| Franciscan Orthoindy Surgery Center, LLC | 2548 Cumberland Avenue, Suite 200, West Lafayette, IN 47906 | Ambulatory Surgical Clinic/Center | 2025-06-24 |
| Jason Paul Hodde | 1425 Innovation Place, West Lafayette, IN 47906 | Sports Medicine (Emergency Medicine) Physician | 2006-08-23 |
| Shahid Ahsan | 717 Warrick St, West Lafayette, IN 47906-1180 | Pulmonary Disease Physician | 2006-07-17 |
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| Alexandria J Figueroa · Alexandria J Wunderlich | 40 Smith St, Middletown, NY 10940-3711 | Clinical Social Worker | 2016-01-04 |
| Alexandria L. Miller · Alexandria Hatch | 1800 Zollinger Rd Fl 2, Columbus, OH 43221-2800 | Cardiovascular Disease Physician | 2016-05-24 |
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| Alexandria Geist · Alexandria Sporleder | 1500 Southwest Blvd Ste D, Jefferson City, MO 65109-2472 | Family Medicine Physician | 2018-04-05 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |