Adam Lamont Moeller, PHARMD.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

7475454-1701 Issued in UT

Practice address

198 N 1200 E
Lehi, UT 84043-2294

Phone

(801) 653-2709

Fax

(801) 653-2706

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1154951622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 N 1200 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432294",
            "telephone_number": "801-653-2709",
            "fax_number": "801-653-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 N 1200 E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432294",
            "telephone_number": "801-653-2709",
            "fax_number": "801-653-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "ADAM",
        "middle_name": "LAMONT",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "10921906-1703",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "UT",
            "license": "7475454-1701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE BOARD PHARMACIST LICENSE",
            "identifier": "7475454-1701",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• James Eugene Montgomery
• Kallie Moon
• Christopher Reed Moore
• Daniel Lewis Moore, NP
• Koraima Morel Tirado

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lehi, UT
• Providers in Lehi, UT by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.