Lisa Jeanne Moherman, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0004971 Issued in WV

Practice address

1 Medical Center Drive
Morgantown, WV 26506-8045

Phone

(304) 598-4858

Fax

(304) 598-4871

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477763100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 EASTGATE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265085938",
            "telephone_number": "304-292-2626",
            "fax_number": "304-598-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265068045",
            "telephone_number": "304-598-4858",
            "fax_number": "304-598-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHERMAN",
        "first_name": "LISA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0004971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Mock
• Gabrielle Giuliani Mocniak
• Nishtha Rajendra Modi, MD
• James L Moeller, MD
• Kathryn S Moffett, M.D.
• Nathaniel J. Mohney, MD
• Alicia Ann Moise, MD
• John Moise
• Katherine Jo Moles, DPT
• Michelle Molisee

• Pharmacist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.