Individual provider Active NPI

Desiree Dawn Moreland, PHARM.D., R.P.

  • Pharmacist
  • Chadron, NE
National Provider Identifier
1396901898
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12927 Issued in NE
Practice address
825 Centennial Drive
Chadron, NE 69337
Phone
(308) 432-0244
Fax
(308) 432-0245
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12927 NE Primary

Addresses

Primary practice location

825 Centennial Drive
Chadron, NE 69337

Mailing address

825 Centennial Drive
Chadron, NE 69337
Phone (308) 432-0244

Other names 1

  • Desiree Dawn Graham Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
12927NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1396901898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DRIVE",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "69337",
            "telephone_number": "308-432-0244",
            "fax_number": "308-432-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DRIVE",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "69337",
            "telephone_number": "308-432-0244",
            "fax_number": "308-432-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "DESIREE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., R.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "12927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "GRAHAM",
            "middle_name": "DAWN",
            "credential": "PHARM.D., R.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chadron, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.