Active NPI
Michele Lord Moldenhauer, PHARMD
- Pharmacist
- Fredericksburg, TX
National Provider Identifier
1154659233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46314
- Practice address
- 704 S Adams St
Fredericksburg, TX 78624-4582 - Phone
- (830) 990-5089
- NPI assigned
- Nov 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 46314 | TX | Primary |
Addresses
Primary practice location
704 S Adams St
Fredericksburg, TX 78624-4582
Mailing address
704 S Adams St
Fredericksburg, TX 78624-4582
Phone (830) 990-5089
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 |
|---|---|---|---|
| 46314 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1154659233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 S ADAMS ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244582",
"telephone_number": "830-990-5089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 S ADAMS ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244582",
"telephone_number": "830-990-5089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLDENHAUER",
"first_name": "MICHELE",
"middle_name": "LORD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-30",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, TX
- Mikosh Drug Company, LLC (Gail's Apothecary)
- Erin Mills, PHARMD
- Frank Thomas Mills, PT.
- Lauren Youngblood Milvenan, DDS
- Desiree Lynne Misanko, M.A., PSY.D.
- Monica Marie Montgomery, DDS
- Jenny Rebecca Moores, L.P.C.
- Charles Ray Morgan Jr., LCSW
- MSP RX LLC (Hill Country Pharmacy)
- Kelly Jean Muirhead-Arledge, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.