Active NPI
Joseph M Moreno, PHARMACIST
- Pharmacist
- Washington, DC
National Provider Identifier
1093310815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100000043
- Practice address
- 1601 17TH St NW
Washington, DC 20009-2403 - Phone
- (202) 588-0186
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Male
- 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 | PH100000043 | DC | Primary |
Addresses
Primary practice location
1601 17TH St NW
Washington, DC 20009-2403
Mailing address
1601 17TH St NW
Washington, DC 20009-2403
Phone (202) 588-0186
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 |
|---|---|---|---|
| PH100000043 | DC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Pharmacy, L.L.C. | Current | Accepting new patients | |
| Procare Pharmacy, LLC. | Past | Accepting new patients |
Locations
1601 17th St NW
Washington, DC 20009
Phone (202) 588-0186
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1093310815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 17TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092403",
"telephone_number": "202-588-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 17TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092403",
"telephone_number": "202-588-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "JOSEPH",
"middle_name": "M",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100000043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.