Active NPIIndividual provider

Christian R Gongob, PHARMD

Pharmacist in Fort Lee, New Jersey

NPI Number1306457262
Practice location
2151 Lemoine Ave, Fort Lee, NJ 07024-6041
Fax
—
Last updated
August 13, 2020

Christian R Gongob is a Pharmacist based in Fort Lee, NJ. Christian R Gongob practices in Fort Lee, NJ and has the professional credentials of PHARMD. The NPI Number for Christian R Gongob is 1306457262 and holds a License No. 28RI04063500 (NJ). The current practice location address for Christian R Gongob is 2151 Lemoine Ave, Fort Lee, NJ 07024-6041 and can be reached out via phone at 201-947-6772.

Provider Profile Details

NPI Number
1306457262
Provider Name
Christian R Gongob
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2151 Lemoine Ave, Fort Lee, NJ 07024-6041
Phone Number
201-947-6772
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2020
Last Update Date
August 13, 2020
Certification Date
August 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2151 Lemoine Ave
Fort Lee, NJ 07024-6041
Zip
07024-6041
Phone Number
201-947-6772
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2151 Lemoine Ave
Fort Lee, NJ 07024-6041
City
Fort Lee
State
NJ
Zip
07024-6041
Phone Number
201-947-6772

License Information

License Number
28RI04063500
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christian R Gongob, PHARMD?

The NPI number of Christian R Gongob, PHARMD is 1306457262. It was assigned on August 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Christian R Gongob, PHARMD?

Christian R Gongob, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI04063500.

Where does Christian R Gongob, PHARMD practice?

The practice location is 2151 Lemoine Ave, Fort Lee, NJ 07024-6041. The office can be reached at 201-947-6772 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306457262 directly on the NPPES registry website.

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