Active NPI
Jennifer Mungcal, PHARMD
- Pharmacist
- Reno, NV
National Provider Identifier
1104126606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18075
- Practice address
- 1155 Mill St
Reno, NV 89502-1576 - Phone
- (775) 982-6450
- NPI assigned
- Oct 30, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18075 | NV | Primary |
Addresses
Primary practice location
1155 Mill St
Reno, NV 89502-1576
Mailing address
4775 Summit Ridge Dr
Apt 2102
Reno, NV 89523-7918
Phone (757) 287-6314
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18075 | NV | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1104126606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 SUMMIT RIDGE DR",
"address_2": "APT 2102",
"city": "RENO",
"state": "NV",
"postal_code": "895237918",
"telephone_number": "757-287-6314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNGCAL",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-30",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.