| NPI | 1437648334 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2018-05-07 |
| Last Updated | 2018-05-18 |
| Authorized Official | Kyle Yoder Manager Phone: 7048272211 |
| Mailing Address | 125 W Central Ave Mount Holly, NC 28120-1616 United States Phone: (704) 827-2211 | Fax: (704) 827-7134 📍 View Map |
| Primary Practice Address | 125 W Central Ave Mount Holly, NC 28120 United States Phone: (704) 827-2211 | Fax: (704) 827-7134 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2177554 | PK |
| MEDICAID | NC | Pending | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NC | 13746 |
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About NPI 1437648334
Moose Pharmacy Of Mt Holly Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1437648334. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Mount Holly, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-05-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1437648334?
NPI 1437648334 belongs to Moose Pharmacy Of Mt Holly Llc, a Pharmacy, Community/Retail Pharmacy in Mount Holly, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1437648334 active?
The current status of NPI 1437648334 in the NPPES registry is Active. The record was last updated on 2018-05-18.
What specialty is NPI 1437648334?
NPI 1437648334 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1437648334?
You can verify NPI 1437648334 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1437648334?
The primary practice address on file for NPI 1437648334 is 125 W Central Ave, Mount Holly, NC 28120. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1437648334 issued?
NPI 1437648334 was first issued (enumerated) on 2018-05-07. The NPPES record was last updated on 2018-05-18.
Practice Location Map
Moose Pharmacy Of Mt Holly Llc is located at 125 W Central Ave, Mount Holly, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Moose Pharmacy Of Mt Holly Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1437648334. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 13746 | NC |