Sang-Yoon Moon

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302043629 Issued in MI

Practice address

706 S Main St
Adrian, MI 49221-3722

Phone

(517) 265-6675

NPI assigned

Jun 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Walgreen Co

  • Pharmacy
  • Adrian, MI
  • NPI 1487669529
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1285250993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213722",
            "telephone_number": "517-265-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213722",
            "telephone_number": "517-265-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "SANG-YOON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Joan Molter, MA LPC
• Amber Marie Monahan, LLBSW QMRP
• Jessie Lee Monahan, LLPC
• Savannah Skyy Monette, MS, LAT, ATC, NR-EMT
• Brandon James Moody I
• Andrew Moore, PHARMD
• Makenzie Nicole Moore
• Michelle Moorehead
• Jenna Rae Moreno
• Tami T Moreno, LMSW - CLINICAL

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.