Thomas Moe

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

20 Issued in ND

Legal business name

THOMAS MOE

Doing business as

Northbrook Drug

Practice address

1929 N Washington St
Ste C
Bismarck, ND 58501-1616

Phone

(701) 258-1412

Fax

(701) 258-1413

NPI assigned

Aug 10, 2006

Last updated

Aug 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tom Moe, RPH

Title

Owner

Phone

(701) 258-1412

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• NORTHBROOK DRUG Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1144231705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST",
            "address_2": "STE C",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-258-1412",
            "fax_number": "701-258-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST",
            "address_2": "STE C",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-258-1412",
            "fax_number": "701-258-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS MOE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-258-1412",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ND",
            "license": "20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3502033",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20617",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHBROOK DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therapeutic Trauma and Counseling (Lotus Therapeutic Services PLLC)
• Briona Thielen
• Ramakrishna Thippanna, MD
• Brooke M Thom, DNP, FNP-C
• Thomas J. York D.D.S. PLLC
• Thomas P. Kapla, D.D.S., P.C.
• Amber Thomas, FNP
• Angela Denise Thomas, CNA
• Cheryl Thomas, WRAPAROUND/CM
• Hannah R. Thomas, LMSW

• Community/Retail Pharmacy in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Community/Retail Pharmacy in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.