Individual provider Active NPI

James M Moran, PHARMD

  • Pharmacist
  • Amherst, OH
National Provider Identifier
1679147102
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03129366 Issued in OH
Practice address
2201 Kresge Dr
Amherst, OH 44001-1243
Phone
(440) 282-7651
Fax
(440) 282-7663
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 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 03129366 OH Primary

Addresses

Primary practice location

2201 Kresge Dr
Amherst, OH 44001-1243

Mailing address

2201 Kresge Drive
Pharmacy
Amherst, OH 44001
Phone (440) 282-7651

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
03129366OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riser Foods Company PastSince May 25, 2021 Accepting new patients
Riser Foods Company PastSince May 25, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1679147102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 KRESGE DRIVE",
            "address_2": "PHARMACY",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "44001",
            "telephone_number": "440-282-7651",
            "fax_number": "440-282-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 KRESGE DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011243",
            "telephone_number": "440-282-7651",
            "fax_number": "440-282-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03129366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.