Moran Aviation LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

MORAN AVIATION LLC

Doing business as

Vaccine Mobile

Practice address

1602 Hidden Hill Dr
Verona, WI 53593-7970

Phone

(608) 848-5956

Fax

(608) 848-5656

NPI assigned

May 11, 2020

Last updated

Jan 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lance J MoranNPI 1740282961

Title

Member

Phone

(608) 848-5956

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vaccine Mobile Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lance Jay Moran, R.PH., M.S.

  • Pharmacist
  • Verona, WI
  • NPI 1740282961
  NPD Authorized official
• John C Peterson, PHARMACIST

  • Pharmacist
  • Verona, WI
  • NPI 1275149718
  NPD

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1033731229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 HIDDEN HILL DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535937970",
            "telephone_number": "608-848-5956",
            "fax_number": "608-848-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 HIDDEN HILL DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535937970",
            "telephone_number": "608-848-5956",
            "fax_number": "608-848-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAN AVIATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-848-5956"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "11410",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaccine Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Miller
• Maria Rose Molaison, RN
• Pawel Adrian Moldysz, DPT
• Melinda K Moore, PT
• Tessandra Moore
• Lance Jay Moran, R.PH., M.S.
• Carole L Morley
• Kathleen A. L. Morley, PHD
• Paul F Morovits, DC
• Dana Morgan Mortensen

• Pharmacist in Verona, WI
• Providers in Verona, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.