Individual provider Active NPI

Christopher Masahiro Nomura, PHARMD.

  • Pharmacist
  • Monroe, WA
National Provider Identifier
1922388958
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00064512 Issued in WA
Practice address
19651 State Route 2
Monroe, WA 98272-1537
Phone
(360) 794-9644
Fax
(360) 794-0734
NPI assigned
Aug 22, 2011
Last updated
Aug 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00064512 WA Primary

Addresses

Primary practice location

19651 State Route 2
Monroe, WA 98272-1537

Mailing address

19651 State Route 2
Monroe, WA 98272-1537
Phone (360) 794-9644

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH00064512WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1922388958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19651 STATE ROUTE 2",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721537",
            "telephone_number": "360-794-9644",
            "fax_number": "360-794-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19651 STATE ROUTE 2",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721537",
            "telephone_number": "360-794-9644",
            "fax_number": "360-794-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMURA",
        "first_name": "CHRISTOPHER",
        "middle_name": "MASAHIRO",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00064512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.