Keegan Moriarty

Primary specialty

PharmacistTaxonomy code 183500000X

Practice address

201 N George St
Charles Town, WV 25414-1573

Phone

(301) 676-6922

NPI assigned

Jun 26, 2023

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Pain Relief Specialists

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1043808124
  NPD Authorized official
• Potomac Toxicology Laboratories Inc

  • Clinical Medical Laboratory
  • Frederick, MD
  • NPI 1992697353
  Authorized official Same address or phone
• Potomac Wound Care Specialists

  • Clinic/Center
  • Frederick, MD
  • NPI 1316835010
  Authorized official Same address or phone
• Select Toxicology Lab STL LLC

  • Clinical Medical Laboratory
  • Manning, SC
  • NPI 1952790206
  Authorized official Same address or phone
• Biogenics Medical Labs LLC

  • Clinical Medical Laboratory
  • Frederick, MD
  • NPI 1508581919
  NPD
• Pain Relief Specialists - Upper Marlboro

  • Pain Medicine Physician
  • Upper Marlboro, MD
  • NPI 1942972815
  NPD

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1588340293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 KENWOOD PL",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217938193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N GEORGE ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141573",
            "telephone_number": "301-676-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "KEEGAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veneranda Miranda
• Alicia Mongold
• Anne Victoria Monson, CPM
• Kathleen M Moore, PTA
• Lee Richard Moore Jr., O.D.
• Misty Dawn Morningstar
• Amy Morris, SLP
• Kaitlin Morris
• Allison Moylan
• Cami Muck

• Pharmacist in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.