NPIMap

Organization Active NPI

Moose Drug Company

  • Long Term Care Pharmacy
  • Concord, NC
National Provider Identifier
1245920156
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MOOSE DRUG COMPANY
Practice address
740 Church St N
Concord, NC 28025-4336
Phone
(704) 784-9613
Fax
(704) 789-9366
NPI assigned
May 12, 2023
Organization subpart
Yes
Parent organization
MOOSE DRUG COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
William Whitaker Moose
Title
Pharmacy Owner
Phone
(704) 436-9613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

740 Church St N
Concord, NC 28025-4336

Mailing address

740 Church St N
Concord, NC 28025-4336
Phone (704) 784-9613

National Provider Directory

National Provider Directory
Tax ID family
Moose Drug Co7 organizations share this tax ID, including this one
Part of
Moose Drug Co

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

270 Copperfield Blvd NE
Ste 101
Concord, NC 28025
Phone (704) 784-9613

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1245920156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254336",
            "telephone_number": "704-784-9613",
            "fax_number": "704-789-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254336",
            "telephone_number": "704-784-9613",
            "fax_number": "704-789-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSE DRUG COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOOSE DRUG COMPANY",
        "enumeration_date": "2023-05-12",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "MOOSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WHITAKER",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "704-436-9613"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.