Individual provider Active NPI

Megan Louise Moonjian, PHARM.D.

  • Pharmacist
  • Bryan, TX
National Provider Identifier
1013270198
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51407 Issued in TX
Practice address
3061 Wildflower Dr
Bryan, TX 77802-3060
Phone
(979) 774-1481
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 51407 TX Primary

Addresses

Primary practice location

3061 Wildflower Dr
Bryan, TX 77802-3060

Mailing address

3061 Wildflower Dr
Bryan, TX 77802-3060
Phone (979) 774-1481

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
51407TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1013270198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 WILDFLOWER DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023060",
            "telephone_number": "979-774-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 WILDFLOWER DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023060",
            "telephone_number": "979-774-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONJIAN",
        "first_name": "MEGAN",
        "middle_name": "LOUISE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.