NPIMap

Organization Active NPI

Moyes Pharmacy Inc

Doing business as Moyes Pharmacy Jodeco

  • Pharmacist
  • Stockbridge, GA
National Provider Identifier
1063432920
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8280 Issued in GA
Legal business name
MOYES PHARMACY INC
Doing business as
Moyes Pharmacy Jodeco
Practice address
1920 Hudson Bridge Rd
Stockbridge, GA 30281-5038
Phone
(770) 507-1234
Fax
(770) 626-5059
NPI assigned
Jul 20, 2006
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Loren B Pierce, RPHNPI 1053470351
Title
Pharmacist/Owner
Phone
(770) 474-7693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8280 GA Primary

Addresses

Primary practice location

1920 Hudson Bridge Rd
Stockbridge, GA 30281-5038

Mailing address

1920 Hudson Bridge Rd
Stockbridge, GA 30281-5038
Phone (770) 507-1234

Other identifiers 2

IdentifierTypeStateIssuer
1145805OtherGANCPDP
000262457CMedicaidGA

Other names 1

  • MOYES PHARMACY JODECO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130827000217 GA Part B Supplier - Mass Immunization (Roster Biller Only) 7214054907 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McDonough, GA; Locust Grove, GA; Jackson, GA; Hampton, GA

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Moyes Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1063432920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HUDSON BRIDGE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815038",
            "telephone_number": "770-507-1234",
            "fax_number": "770-626-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 HUDSON BRIDGE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815038",
            "telephone_number": "770-507-1234",
            "fax_number": "770-626-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "770-474-7693",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "8280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1145805",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000262457C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOYES PHARMACY JODECO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.