NPIMap

Organization Active NPI

Moose Pharmacy of Monroe LLC

  • Long Term Care Pharmacy
  • Monroe, NC
National Provider Identifier
1316637002
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MOOSE PHARMACY OF MONROE LLC
Practice address
215 E Jefferson St
Monroe, NC 28112-4865
Phone
(704) 283-8131
Fax
(704) 289-1954
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Ashley Lynn Moose, PHARMDNPI 1780820605
Title
Pharmacy Owner
Phone
(704) 283-8131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

215 E Jefferson St
Monroe, NC 28112-4865

Mailing address

215 E Jefferson St
Monroe, NC 28112-4865
Phone (704) 283-8131

Other names 1

  • Moose Pharmacy of Monroe Long-Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moose Pharmacy of Monroe LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1316637002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E JEFFERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124865",
            "telephone_number": "704-283-8131",
            "fax_number": "704-289-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E JEFFERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124865",
            "telephone_number": "704-283-8131",
            "fax_number": "704-289-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSE PHARMACY OF MONROE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "MOOSE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "704-283-8131",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moose Pharmacy of Monroe Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.