Active NPI
Ashley Nicole Moye, R.PH.
- Pharmacist
- Eldorado, IL
National Provider Identifier
1699304055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.290007
- Practice address
- 1101 US Highway 45 N
Eldorado, IL 62930-3768 - Phone
- (618) 273-4941
- NPI assigned
- Apr 7, 2020
- Last updated
- Apr 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 051.290007 | IL | Primary |
Addresses
Primary practice location
1101 US Highway 45 N
Eldorado, IL 62930-3768
Mailing address
15700 Highway 1
Ridgway, IL 62979-2104
Phone (618) 272-3099
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 |
|---|---|---|---|
| 051.290007 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRN Pharmacies LTD | Past | Accepting new patients |
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": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1699304055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15700 HIGHWAY 1",
"city": "RIDGWAY",
"state": "IL",
"postal_code": "629792104",
"telephone_number": "618-272-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 US HIGHWAY 45 N",
"city": "ELDORADO",
"state": "IL",
"postal_code": "629303768",
"telephone_number": "618-273-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYE",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.290007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eldorado, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.