Moose Pharmacy of Salisbury

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MOOSE PHARMACY OF SALISBURY

Doing business as

Moose Pharmacy of Salisbury Long-Term Care

Practice address

1408 W Innes St
Salisbury, NC 28144-2502

Phone

(704) 636-6340

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Kyle Yoder, PHARMD

Title

Managing Member

Phone

(704) 636-6340

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moose Pharmacy of Salisbury Long-Term Care Doing business as

Tax ID family

Moose Pharmacy of Salisbury2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moose Pharmacy of Salisbury LLC

  • Community/Retail Pharmacy
  • Salisbury, NC
  • NPI 1669626164
  NPD tax ID

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1033576087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442502",
            "telephone_number": "704-636-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442502",
            "telephone_number": "704-636-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSE PHARMACY OF SALISBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "704-636-6340",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805812",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moose Pharmacy of Salisbury Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia M Moore, MD
• Robert Gene Moore, MD
• Sylvia Pope Moore, M.A., CCC-SLP
• Taylor Moore
• Valerie Lynn Moore, MD
• Moose Pharmacy of Salisbury LLC
• Tasha S Moose, PHARM.D.
• Candace Pait Morales, LAT, ATC
• Brooke Moran, MS, LAT, ATC
• Diana Moreno, MSPT

• Long Term Care Pharmacy in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.