Active NPI
Garrett Moreland, PHARMD
- Pharmacist
- Louisville, KY
National Provider Identifier
1447861505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021013
- Practice address
- 2490 Bardstown Rd
Louisville, KY 40205-2123 - Phone
- (502) 454-8087
- NPI assigned
- Aug 12, 2020
- Last updated
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051303150 | IL | |
| Pharmacist | 183500000X | 26028594A | IN | |
| Pharmacist | 183500000X | 021013 | KY | Primary |
Addresses
Primary practice location
2490 Bardstown Rd
Louisville, KY 40205-2123
Mailing address
2500 W Moss Ave
Peoria, IL 61604-5450
Phone (270) 366-6056
Other practice location 1
3360 Irvin Cobb Dr
Paducah, KY 42003-0501
Phone (270) 444-8011
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051303150 | IL | MD | Pharmacist |
| 26028594A | IN | MD | Pharmacist |
| 021013 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1447861505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W MOSS AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616045450",
"telephone_number": "270-366-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402052123",
"telephone_number": "502-454-8087"
}
],
"practiceLocations": [
{
"address_1": "3360 Irvin Cobb Dr",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420030501",
"country_code": "US",
"telephone_number": "270-444-8011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORELAND",
"first_name": "GARRETT",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051303150",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26028594A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "021013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.