Active NPI
Jerome A Munic, R.PH.
- Pharmacist
- Holyoke, MA
National Provider Identifier
1285659078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6118
- Practice address
- 110 Cherry St
Holyoke, MA 01040-7002 - Phone
- (413) 532-9475
- NPI assigned
- Jul 13, 2006
- Last updated
- Mar 31, 2012
- Sex
- Male
- 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 | 6118 | CT | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 6118 | CT |
Addresses
Primary practice location
110 Cherry St
Holyoke, MA 01040-7002
Mailing address
518 Park Dr
Springfield, MA 01106-1236
Phone (413) 754-3210
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333152000000",
"number": "1285659078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 PARK DR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011061236",
"telephone_number": "413-754-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CHERRY ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010407002",
"telephone_number": "413-532-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNIC",
"first_name": "JEROME",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "6118",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CT",
"license": "6118",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.