Amanda Moon

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

24326 Issued in CO

Practice address

6110 Firestone Blvd
Firestone, CO 80504-6425

Phone

(303) 682-4170

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dillon Companies LLC

  • Community/Retail Pharmacy
  • Fountain, CO
  • NPI 1194524165
  NPD (past)
• Dillon Companies LLC

  • Community/Retail Pharmacy
  • Firestone, CO
  • NPI 1205871977
  NPD (past)
• Kroger Texas LP

  • Community/Retail Pharmacy
  • Prosper, TX
  • NPI 1336506278
  NPD (past)
• Kroger Texas LP

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1407747439
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Denton, TX
  • NPI 1396750360
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1013316116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 FIRESTONE BLVD",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805046425",
            "telephone_number": "303-682-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 FIRESTONE BLVD",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805046425",
            "telephone_number": "303-682-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "24326",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "24326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Diane McHugh, LCSW
• Lauren Mary McIlvanie
• Francisca Melendez-Chavez, PA
• Valerie Lynn Miller, CCC-SLP
• Thomas Dwight Mino II, D.O.
• Tristin Moreland, M.S., CCC-SLP
• Lesley D Moritz, PA-C
• Erin Daphne Christena Moulin, PHARMD
• My Local Colorado Dental Practice, LLC
• Myeyedr Optometry of Colorado PC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Firestone, CO
• Providers in Firestone, CO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.