NPIMap

Individual provider Active NPI

William Whitaker Moose Jr., RPH

  • Pharmacist
  • Mount Pleasant, NC
National Provider Identifier
1386780534
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
09721 Issued in NC
Practice address
8374 W. Franklin St.
Mount Pleasant, NC 28124
Phone
(704) 436-9613
Fax
(704) 436-6512
NPI assigned
Jan 29, 2007
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 09721 NC Primary

Addresses

Primary practice location

8374 W. Franklin St.
Mount Pleasant, NC 28124

Mailing address

8374 W. Franklin St.
PO Box 67
Mount Pleasant, NC 28124
Phone (704) 436-9613

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whit@moosepharmacy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
09721NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Moose Pharmacy of Monroe LLC Current Accepting new patients
Moose Pharmacy of Monroe Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: whit.moose@direct.moosepharmacy.nchie.net
  • Direct secure messaging: whit@moosepharmacy.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1386780534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 W. FRANKLIN ST.",
            "address_2": "PO BOX 67",
            "city": "MOUNT PLEASANT",
            "state": "NC",
            "postal_code": "28124",
            "telephone_number": "704-436-9613",
            "fax_number": "704-436-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8374 W. FRANKLIN ST.",
            "city": "MOUNT PLEASANT",
            "state": "NC",
            "postal_code": "28124",
            "telephone_number": "704-436-9613",
            "fax_number": "704-436-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSE",
        "first_name": "WILLIAM",
        "middle_name": "WHITAKER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "09721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whit@moosepharmacy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8374 W. Franklin St.",
            "city": "Mount Pleasant",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.