Individual provider Active NPI

Shaun F.K. Moizuk, PHARMD

  • Pharmacist
  • Cleveland, OH
National Provider Identifier
1225314180
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03331224 Issued in OH
Practice address
11000 Euclid Ave
Mail Stop 6001
Cleveland, OH 44106-1714
Phone
(216) 844-1799
NPI assigned
Oct 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03331224 OH Primary

Addresses

Primary practice location

11000 Euclid Ave
Mail Stop 6001
Cleveland, OH 44106-1714

Mailing address

11000 Euclid Ave
Mail Stop 6001
Cleveland, OH 44106-1714

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

LicenseStateTypeSpecialty
03331224OHMDPharmacist

Interoperability endpoints

  • Direct secure messaging: smoizuk27512@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1225314180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 EUCLID AVE",
            "address_2": "MAIL STOP 6001",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 EUCLID AVE",
            "address_2": "MAIL STOP 6001",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061714",
            "telephone_number": "216-844-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIZUK",
        "first_name": "SHAUN",
        "middle_name": "F.K.",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03331224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.