Active NPI
Jeffrey Saba Moon, PHARM.D
- Pharmacist
- Lone Tree, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA-19028
- Practice address
- 7817 Park Meadows Dr
Lone Tree, CO 80124-2547 - Phone
- (303) 799-3905
- NPI assigned
- May 17, 2011
- Last updated
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PHA-19028 | CO | MD | Pharmacist |
| RPH-0010233 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Heartland Pharmacy
- Durable Medical Equipment & Medical Supplies
- Englewood, CO
- NPI 1861755225
-
dba ClearSpring Pharmacy
- Long Term Care Pharmacy
- Littleton, CO
- NPI 1477568830
-
dba ClearSpring Pharmacy
- Community/Retail Pharmacy
- Littleton, CO
- NPI 1558377150
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
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.