Individual provider Active NPI

Caroline M. Moehlenkamp, RPH

  • Pharmacist
  • Evansville, IN
National Provider Identifier
1447545082
Registry record updated Jun 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26018055A Issued in IN
Practice address
6625 E Lloyd Expy
Evansville, IN 47715-2757
Phone
(812) 402-8509
Fax
(812) 402-8509
NPI assigned
Jun 11, 2011
Last updated
Jun 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26018055A IN Primary
Pharmacist 183500000X 1-12035 KS

Addresses

Primary practice location

6625 E Lloyd Expy
Evansville, IN 47715-2757

Mailing address

10277 Barrington PL
Newburgh, IN 47630-8747
Phone (812) 490-6291

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
26018055AINMDPharmacist
1-12035KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307750400000",
    "number": "1447545082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10277 BARRINGTON PL",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308747",
            "telephone_number": "812-490-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 E LLOYD EXPY",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152757",
            "telephone_number": "812-402-8509",
            "fax_number": "812-402-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEHLENKAMP",
        "first_name": "CAROLINE",
        "middle_name": "M.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-11",
        "last_updated": "2011-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26018055A",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-12035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2011; 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.