Nasteha Moalin, PHAMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

122700 Issued in MN

Practice address

657 E Main St
Anoka, MN 55303-2528

Phone

(763) 427-2287

NPI assigned

Aug 19, 2020

Sex

Female

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

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1356953632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CORNELIA TRL UNIT I",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251923",
            "telephone_number": "651-444-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E MAIN ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032528",
            "telephone_number": "763-427-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOALIN",
        "first_name": "NASTEHA",
        "credential": "PHAMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "122700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greta N. Minor, PHD, LP
• Audra L Mintz, DPM
• Rachel Nicole Mirecki, OT
• Meghan Mitchell
• Rebecca Mitchell, MA, LMFT
• Anna Marie Modeen
• Lisa Moen, MA
• Yassin Abdirahman Mohamed
• Ann Helen Mongeau, L AC.
• Naomi Montgomery

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Anoka, MN
• Providers in Anoka, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.