Nikia Moody, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP439504 Issued in PA

Practice address

3300 S Broad St
Philadelphia, PA 19145-5802

Phone

(215) 463-0891

Fax

(215) 463-0895

NPI assigned

Jul 7, 2020

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Philadelphia, PA
  • NPI 1114024601
  NPD (past)

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1639797574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S 23RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462834",
            "telephone_number": "267-235-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191455802",
            "telephone_number": "215-463-0891",
            "fax_number": "215-463-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "NIKIA",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Moody
• Daphne Monique Moody, RN
• Ernest W Moody Jr., D.D.S.
• Khaliah Saleem Moody
• Meagan J Moody, MSW
• Sabrina Moody
• Bijoyesh Mookerjee, M.D.
• David Moolten, MD
• Amanda Theresa Moon, M.D.
• Bo Hyun Moon, MD, MBA

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.