Organization Active NPI

Moose Drug Company

  • Community/Retail Pharmacy
  • Mount Pleasant, NC
National Provider Identifier
1396981239
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05395 Issued in NC
Legal business name
MOOSE DRUG COMPANY
Practice address
8374 West Franklin Street
Mount Pleasant, NC 28124-0067
Phone
(704) 436-9613
Fax
(704) 436-6512
NPI assigned
Dec 24, 2008
Last updated
Dec 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Authorized official

Name
James Bowman, PHARMD
Title
Pharmacist
Phone
(704) 436-9613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 05395 NC Primary

Addresses

Primary practice location

8374 West Franklin Street
Mount Pleasant, NC 28124-0067

Mailing address

8374 West Franklin Street
PO Box 67
Mount Pleasant, NC 28124-0067
Phone (704) 436-9613

National Provider Directory

National Provider Directory
Tax ID family
Moose Drug Company7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1396981239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 WEST FRANKLIN STREET",
            "address_2": "PO BOX 67",
            "city": "MOUNT PLEASANT",
            "state": "NC",
            "postal_code": "281240067",
            "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 WEST FRANKLIN STREET",
            "city": "MOUNT PLEASANT",
            "state": "NC",
            "postal_code": "281240067",
            "telephone_number": "704-436-9613",
            "fax_number": "704-436-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSE DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "704-436-9613",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 24, 2008; 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.