Moose Drug Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05099 Issued in NC

Legal business name

MOOSE DRUG COMPANY

Practice address

740 Church St N
Concord, NC 28025-4336

Phone

(704) 784-9613

Fax

(704) 789-9366

NPI assigned

Sep 20, 2006

Organization subpart

Yes

Parent organization

MOOSE DRUG COMPANYAs reported in NPPES

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

Authorized official

Name

Dr. Joseph Steven Moose, PHARMD

Title

Owner

Phone

(704) 784-9613

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Moose Professional Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Moose Drug Company

  • Community/Retail Pharmacy
  • Locust, NC
  • NPI 1588768543

  O20071117000095

  Same enrollment
• Moose Drug Company

  • Community/Retail Pharmacy
  • Mt Pleasant, NC
  • NPI 1932219888

  O20071117000095

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Moose Drug Co

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1043317027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254336",
            "telephone_number": "704-784-9613",
            "fax_number": "704-784-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254336",
            "telephone_number": "704-784-9613",
            "fax_number": "704-789-9366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Copperfield Blvd NE",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252441",
            "country_code": "US",
            "telephone_number": "704-784-9613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOOSE DRUG COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOOSE DRUG COMPANY",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "MOOSE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-784-9613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700860",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3426245",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moose Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keyana Moore
• Marquest Channell Carter Moore
• Richard Moore
• Richard Moore, LCAS-A, LPCA
• Valerie Ann Moore, NP
• Moose Drug Company
• Moose Drug Company
• Joseph S Moose, PHARM.D.
• Kamren Moose, LCAS, LCSWA
• Victoria Raffaldt Moosmann, FNP

• Community/Retail Pharmacy in Concord, NC
• Providers in Concord, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.