Individual provider Active NPI

Marla Jo Mooney, PHARMD

  • Pharmacist
  • Hoisington, KS
National Provider Identifier
1619094554
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-13170 Issued in KS
Practice address
821 N Main St
Hoisington, KS 67544-1842
Phone
(620) 653-2200
Fax
(620) 653-7386
NPI assigned
Mar 24, 2007
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-13170 KS Primary

Addresses

Primary practice location

821 N Main St
Hoisington, KS 67544-1842

Mailing address

821 N Main St
Hoisington, KS 67544-1842
Phone (620) 653-2200

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

LicenseStateTypeSpecialty
1-13170KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Pharmacy LLC CurrentSince Feb 21, 2021 Accepting new patients

Locations

821 N Main St
Hoisington, KS 67544
Phone (620) 653-2200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1619094554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N MAIN ST",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441842",
            "telephone_number": "620-653-2200",
            "fax_number": "620-653-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N MAIN ST",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441842",
            "telephone_number": "620-653-2200",
            "fax_number": "620-653-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "MARLA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-13170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoisington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.