Moes RX Clinic Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

11351 Issued in NC

Legal business name

MOES RX CLINIC INC

Practice address

1711 Central Ave
Charlotte, NC 28205-5107

Phone

(704) 910-1242

Fax

(704) 910-1350

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Mohsen Khordehforosh, PHARM.D

Title

Pharmacist in Charge

Phone

(704) 910-1242

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MOE'S RX CLINIC Doing business as

Locations

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1235488388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055107",
            "telephone_number": "704-910-1242",
            "fax_number": "704-910-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055107",
            "telephone_number": "704-910-1242",
            "fax_number": "704-910-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOES RX CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "KHORDEHFOROSH",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "704-910-1242",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "11351",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136744",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOE'S RX CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Benedum Moeller, MS, OTR/L
• Benjamin James Moeller, M.D., PH.D.
• Molly Kathleen Boyce Moeller, MD
• Virginia Grace Moeller, DPT
• Taylor Ramsey Moen, PHARMD
• Helen Mahairas Moffat, RPH
• Candice Caldwell Moffatt
• Lawrence S. Moffatt Jr., MD
• Jaime Leigh Moffett, LCSW
• Janey M Moffett

• Pharmacy in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.