Individual provider Active NPI

Thomas Yamamoto Chong-Munoz, R.PH.

  • Pharmacist
  • Kinnelon, NJ
National Provider Identifier
1316489834
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03834700 Issued in NJ
Practice address
1483 State RT 23
Kinnelon, NJ 07405-1627
Phone
(973) 838-4444
NPI assigned
Nov 15, 2016
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03834700 NJ Primary

Addresses

Primary practice location

1483 State RT 23
Kinnelon, NJ 07405-1627

Mailing address

1483 State RT 23
Kinnelon, NJ 07405-1627
Phone (973) 838-4444

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
28RI03834700NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1316489834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 STATE RT 23",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074051627",
            "telephone_number": "973-838-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 STATE RT 23",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074051627",
            "telephone_number": "973-838-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG-MUNOZ",
        "first_name": "THOMAS",
        "middle_name": "YAMAMOTO",
        "name_prefix": "Dr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03834700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.