Active NPI
Robert Gene Moncur, RPH
- Pharmacist
- Bloomington, MN
National Provider Identifier
1700895182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 111011-9
- Practice address
- 5159 W 98TH St
Bloomington, MN 55437-2040 - Phone
- (952) 224-5034
- Fax
- (952) 224-5039
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- 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 | 111011-9 | MN | Primary |
Addresses
Primary practice location
5159 W 98TH St
Bloomington, MN 55437-2040
Mailing address
5159 W 98TH St
Bloomington, MN 55437-2040
Phone (952) 224-5034
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 |
|---|---|---|---|
| 111011-9 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700895182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5159 W 98TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554372040",
"telephone_number": "952-224-5034",
"fax_number": "952-224-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5159 W 98TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554372040",
"telephone_number": "952-224-5034",
"fax_number": "952-224-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONCUR",
"first_name": "ROBERT",
"middle_name": "GENE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "111011-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.