Samuel Moon, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS54007 Issued in FL

Practice address

27615 US Highway 27
Leesburg, FL 34748-9396

Phone

(352) 787-0440

NPI assigned

Jan 23, 2016

Last updated

Jan 23, 2016By the provider in NPPES

Sex

Male

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": "1453507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453507200000",
    "number": "1578920427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27615 US HIGHWAY 27",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489396",
            "telephone_number": "352-787-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27615 US HIGHWAY 27",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489396",
            "telephone_number": "352-787-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-23",
        "last_updated": "2016-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norina Mohd Nordin, M.D.
• Rajat Nishant Moman, MD
• Charmaine Natalie Monteith
• Brenda K. Moody, CRNA
• Elizabeth Moon, RBT
• Leslie Delight Moore, PHARMD
• Sara Elizabeth Moore, DMD
• Shanquita Moore
• Steven Ray Moore, LMHC
• William Moore, MD

• Pharmacist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; 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.