Active NPI
Chinyelu Sophia Muonuagha
- Pharmacist
- Elmont, NY
National Provider Identifier
1063798312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03332200
- Practice address
- 125 Claridge Ave
Elmont, NY 11003-1510 - Phone
- (516) 305-4594
- NPI assigned
- Nov 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03332200 | NJ | Primary |
| Pharmacist | 183500000X | 056425 | NY |
Addresses
Primary practice location
125 Claridge Ave
Elmont, NY 11003-1510
Mailing address
125 Claridge Ave
Elmont, NY 11003-1510
Phone (516) 305-4594
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056425 | NY | MD | Social Worker |
| 28RI03332200 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1063798312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 CLARIDGE AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031510",
"telephone_number": "516-305-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CLARIDGE AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031510",
"telephone_number": "516-305-4594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUONUAGHA",
"first_name": "CHINYELU",
"middle_name": "SOPHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03332200",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056425",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.