Active NPI
Alison Louise Moon
- Pharmacist
- Portage, MI
National Provider Identifier
1033893243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302031737
- Practice address
- 520 Palomino Ave
Portage, MI 49002-6025 - Phone
- (269) 501-3823
- NPI assigned
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302031737 | MI | Primary |
Addresses
Primary practice location
520 Palomino Ave
Portage, MI 49002-6025
Mailing address
6839 S Westnedge Ave
Portage, MI 49002-3582
Phone (269) 327-9646
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302031737 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1033893243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 S WESTNEDGE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490023582",
"telephone_number": "269-327-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 PALOMINO AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490026025",
"telephone_number": "269-501-3823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "ALISON",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.