Active NPI
Austin Thomas Moran, PHARMD
- Pharmacist
- Lafayette, IN
National Provider Identifier
1568185692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- CV2201308
- Practice address
- 1801 South St
Lafayette, IN 47904-2962 - Phone
- (765) 448-1366
- NPI assigned
- Sep 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | CV2201308 | IN | Primary |
Addresses
Primary practice location
1801 South St
Lafayette, IN 47904-2962
Mailing address
475 South Street
Apt 302
Lafayette, IN 47901
Phone (219) 798-8857
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 |
|---|---|---|---|
| CV2201308 | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1568185692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 SOUTH STREET",
"address_2": "APT 302",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "47901",
"telephone_number": "219-798-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SOUTH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042962",
"telephone_number": "765-448-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "AUSTIN",
"middle_name": "THOMAS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "CV2201308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.