Provider Demographics
NPI:1316489834
Name:CHONG-MUNOZ, THOMAS YAMAMOTO (RPH)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:YAMAMOTO
Last Name:CHONG-MUNOZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1483 STATE RT 23
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1627
Mailing Address - Country:US
Mailing Address - Phone:973-838-4444
Mailing Address - Fax:
Practice Address - Street 1:1483 STATE RT 23
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-1627
Practice Address - Country:US
Practice Address - Phone:973-838-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03834700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist