NPIMap

Organization Active NPI

Moes RX Clinic Inc

Doing business as Moe's RX Clinic

  • Pharmacy
  • Charlotte, NC
National Provider Identifier
1235488388
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
11351 Issued in NC
Legal business name
MOES RX CLINIC INC
Doing business as
Moe's RX Clinic
Practice address
1711 Central Ave
Charlotte, NC 28205-5107
Phone
(704) 910-1242
Fax
(704) 910-1350
NPI assigned
Sep 5, 2012
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Mohsen Khordehforosh, PHARM.DNPI 1013266568
Title
Pharmacist in Charge
Phone
(704) 910-1242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 11351 NC Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1711 Central Ave
Charlotte, NC 28205-5107

Mailing address

1711 Central Ave
Charlotte, NC 28205-5107
Phone (704) 910-1242

Other names 1

  • MOE'S RX CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

1711 Central Ave
Charlotte, NC 28205
Phone (704) 301-3278

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOE'S RX CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • 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.