Individual provider Active NPI

Ronald Mundziak, RPH

  • Pharmacist
  • New Albany, OH
National Provider Identifier
1265714810
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-1-16337 Issued in OH
Practice address
5555 New Albany Rd E
New Albany, OH 43054-7017
Phone
(614) 855-4806
Fax
(614) 855-5143
NPI assigned
Sep 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-1-16337 OH Primary
Pharmacist 183500000X 4040 WV

Addresses

Primary practice location

5555 New Albany Rd E
New Albany, OH 43054-7017

Mailing address

5555 New Albany Rd E
New Albany, OH 43054-7017
Phone (614) 855-4806

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4040WVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1265714810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 NEW ALBANY RD E",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547017",
            "telephone_number": "614-855-4806",
            "fax_number": "614-855-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 NEW ALBANY RD E",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547017",
            "telephone_number": "614-855-4806",
            "fax_number": "614-855-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDZIAK",
        "first_name": "RONALD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-16337",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "4040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.