Jason A Mumm, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

050990 Issued in NY

Practice address

6199 S Park Ave
Hamburg, NY 14075-3846

Phone

(716) 648-1475

Fax

(716) 648-5894

NPI assigned

Mar 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Hamburg, NY
  • NPI 1750698775
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1477877892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 S PARK AVE",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753846",
            "telephone_number": "716-648-1475",
            "fax_number": "716-648-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 S PARK AVE",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753846",
            "telephone_number": "716-648-1475",
            "fax_number": "716-648-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMM",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050990",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikolaos Moraros
• Nicholas Joseph Morris, DC
• Frances Ann Moyer, LMHC
• Kathleen Mrozinski
• Smajil Mulahmetovic
• John Munro, MSED, ATC
• Eleanor Murcko
• Mary Ellen Murray, MS SLP
• Katherine Myers, PT
• Holly Nace

• Pharmacist in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.