Individual provider Active NPI

Jeffrey Saba Moon, PHARM.D

  • Pharmacist
  • Lone Tree, CO
National Provider Identifier
1124311659
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA-19028 Issued in CO
Practice address
7817 Park Meadows Dr
Lone Tree, CO 80124-2547
Phone
(303) 799-3905
NPI assigned
May 17, 2011
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0010233 OR
Pharmacist 183500000X PHA-19028 CO Primary

Addresses

Primary practice location

7817 Park Meadows Dr
Lone Tree, CO 80124-2547

Mailing address

6583 S Downing St
Centennial, CO 80121-2519

Other practice location 1

1651 SW Odem Medo Rd
Redmond, OR 97756-9573
Phone (541) 548-6041

Other practice location 2

8031 Southpark Cir Ste A
Littleton, CO 80120-5724
Phone (303) 795-4300

Other practice location 3

8599 Prairie Trail Dr
Englewood, CO 80112-7100
Phone (303) 248-7920

Other practice location 4

8599 Prairie Trail Dr
Englewood, CO 80112-7100
Phone (303) 248-7920

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PHA-19028COMDPharmacist
RPH-0010233ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Whole Health Pharmacy, Inc. Past Accepting new patients
Whole Health Pharmacy, Inc. Past Accepting new patients
Oregon CVS Pharmacy LLC Past Accepting new patients
Heartland Pharmacy - Denver Past Accepting new patients

Organizations & group practices 5

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1124311659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6583 S DOWNING ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801212519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 PARK MEADOWS DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242547",
            "telephone_number": "303-799-3905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 SW Odem Medo Rd",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977569573",
            "country_code": "US",
            "telephone_number": "541-548-6041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8031 Southpark Cir Ste A",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801205724",
            "country_code": "US",
            "telephone_number": "303-795-4300",
            "fax_number": "303-795-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8599 Prairie Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801127100",
            "country_code": "US",
            "telephone_number": "303-248-7920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8599 Prairie Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801127100",
            "country_code": "US",
            "telephone_number": "303-248-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "JEFFREY",
        "middle_name": "SABA",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0010233",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA-19028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.