Active NPI
Michael Moran, RPH, MBA
- Pharmacist
- Medina, OH
National Provider Identifier
1194120659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03310484
- Practice address
- 1000 E Washington St
Medina, OH 44256-2170 - Phone
- (330) 721-5153
- NPI assigned
- Oct 27, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03310484 | OH | Primary |
Addresses
Primary practice location
1000 E Washington St
Medina, OH 44256-2170
Mailing address
1000 E Washington St
Medina, OH 44256-2170
Phone (330) 721-5153
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03310484 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1194120659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E WASHINGTON ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562170",
"telephone_number": "330-721-5153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E WASHINGTON ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562170",
"telephone_number": "330-721-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "MICHAEL",
"credential": "RPH, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03310484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.