Individual provider Active NPI

Jerome A Munic, R.PH.

  • Pharmacist
  • Holyoke, MA
National Provider Identifier
1285659078
Registry record updated Mar 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6118 Issued in CT
Practice address
110 Cherry St
Holyoke, MA 01040-7002
Phone
(413) 532-9475
NPI assigned
Jul 13, 2006
Last updated
Mar 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.