Moscow Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MOSCOW GROUP LLC

Practice address

2013 Exeter Rd
Germantown, TN 38138

Phone

(901) 729-6429

Fax

(901) 729-7694

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Eric A Folk, DPHNPI 1336688043

Title

Owner

Phone

(901) 237-9195

Specialties & licenses 1

Addresses

Other names 1

• germantown pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

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

• Eric Alan Folk, DPH

  • Pharmacist
  • Bolivar, TN
  • NPI 1336688043
  NPD Authorized official

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1386102796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 EXETER ROAD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-729-6429",
            "fax_number": "901-729-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 EXETER RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-729-6429",
            "fax_number": "901-729-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSCOW GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "FOLK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-237-9195",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "germantown pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "germantown pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keri D Morris, APRN, PMHNP-BC
• Leslie Carter Morris, SLP
• Stefanie Gadd Morris, FNP
• Catherine Morton, PHD
• Melanie Mitchell Morton, PT, NCS
• Kimberly Ruth Moseley, B.A.
• Davis D Moser, MD
• Lisa Leigh Moses, FNP
• Zachary Andrew Mosher, MD
• Abteen Ron Moshref, MD

• Community/Retail Pharmacy in Germantown, TN
• Providers in Germantown, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.