Active NPI
Marie Ann Moreken, RPH
- Pharmacist
- North Bend, OR
National Provider Identifier
1659664837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH0009310
- Practice address
- 2040 Broadway St
North Bend, OR 97459-2328 - Phone
- (541) 756-7531
- NPI assigned
- May 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH0009310 | OR | Primary |
Addresses
Primary practice location
2040 Broadway St
North Bend, OR 97459-2328
Mailing address
2251 Heydon Rd
Roseburg, OR 97471-8944
Phone (503) 319-8481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH0009310 | Other | OR | OR STATE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH0009310 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306022400000",
"number": "1659664837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 HEYDON RD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974718944",
"telephone_number": "503-319-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 BROADWAY ST",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974592328",
"telephone_number": "541-756-7531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREKEN",
"first_name": "MARIE",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-22",
"last_updated": "2011-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0009310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OR STATE",
"identifier": "RPH0009310",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.