Mooney's Pharmacy, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

887 Issued in TN

Legal business name

MOONEY'S PHARMACY, INC.

Doing business as

Mooney's Home Medical Equipment

Practice address

1115 N Roan St
Johnson City, TN 37601-3901

Phone

(423) 926-3337

NPI assigned

Apr 6, 2007

Organization subpart

Yes

Parent organization

MOONEY'S PHARMACY, INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas Mooney, D.PH

Title

Owner

Phone

(423) 926-3337

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mooney's Home Medical Equipment Doing business as

Part of

Mooney's Pharmacy

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mooney's Pharmacy

  • Community/Retail Pharmacy
  • Johnson City, TN
  • NPI 1982766903
  NPPES parent name

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1528180833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013901",
            "telephone_number": "423-926-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONEY'S PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOONEY'S PHARMACY, INC",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-926-3337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454962",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4134540",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mooney's Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Tyler Moody, DPT
• Summer L Moody, FNP-C
• Tammy R. Moody, LCSW
• Thomas Rouse Mooney, PHARMACIST
• Mooney's Pharmacy
• Betheny Moore
• Brad Edward Moore, NP
• Brandon K Moore, DO
• Corrinne Elizabeth Moore
• Jerica Moore, MA, ATC

• Durable Medical Equipment & Medical Supplies in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.