Individual provider Active NPI

Cindy Cae Moe, PHARMD

  • Pharmacist
  • Fargo, ND
National Provider Identifier
1003231945
Registry record updated Mar 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH5590 Issued in ND
Practice address
706 38TH St NW Ste E
Fargo, ND 58102-2953
Phone
(701) 893-9183
Fax
(701) 893-9184
NPI assigned
Mar 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH5590 ND Primary
Pharmacist 183500000X 121526 MN

Addresses

Primary practice location

706 38TH St NW Ste E
Fargo, ND 58102-2953

Mailing address

706 38TH St NW Ste E
Fargo, ND 58102-2953
Phone (701) 893-9183

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
121526MNMDPharmacist
RPH5590NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393632000000",
    "number": "1003231945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 38TH ST NW STE E",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022953",
            "telephone_number": "701-893-9183",
            "fax_number": "701-893-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 38TH ST NW STE E",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022953",
            "telephone_number": "701-893-9183",
            "fax_number": "701-893-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "CINDY",
        "middle_name": "CAE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2014-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH5590",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; 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.