Active NPI
Michele Peil Moonan, RPH
- Pharmacist
- Raleigh, NC
National Provider Identifier
1740456870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9301
- Practice address
- 350 E Six Forks Rd
Raleigh, NC 27609-7879 - Phone
- (919) 832-1803
- NPI assigned
- May 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9301 | NC | Primary |
| Pharmacist | 183500000X | 2575 | MT |
Addresses
Primary practice location
350 E Six Forks Rd
Raleigh, NC 27609-7879
Mailing address
350 E Six Forks Rd
Raleigh, NC 27609-7879
Phone (919) 832-1803
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 |
|---|---|---|---|
| 2575 | MT | MD | Pharmacist |
| 9301 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1740456870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 E SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097879",
"telephone_number": "919-832-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097879",
"telephone_number": "919-832-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONAN",
"first_name": "MICHELE",
"middle_name": "PEIL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "9301",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "2575",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.