Gary Moroni, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302039792 Issued in MI

Practice address

19016 Fort St
Riverview, MI 48193-6701

Phone

(734) 479-2010

NPI assigned

Nov 9, 2013

Last updated

Nov 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04334

  • Community/Retail Pharmacy
  • Riverview, MI
  • NPI 1063521581
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04487

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1383955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383955200000",
    "number": "1255760203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19016 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936701",
            "telephone_number": "734-479-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19016 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936701",
            "telephone_number": "734-479-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORONI",
        "first_name": "GARY",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-09",
        "last_updated": "2013-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039792",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03132359",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5302039792",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noor Mohammed, M.D.
• Michelle M Monday, PTA
• Beth Monte
• Kelly Montour, LMT
• Samantha Alana Montry, MA CF-SLP
• Morsi Pediatrics PC
• Ehab Ragar Eid Morsi, MD
• Motor City Drip L.L.C.
• Movement Physical and Occupational Therapy LLC
• Alexia Grace Moylan, RN

• Pharmacist in Riverview, MI
• Providers in Riverview, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; 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.