Donald Sanford Moisio Jr., PHARM.D.
Individual provider Active NPI Pharmacist · Gwinn, MI
NPI 1801913082 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1801913082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302033124 (MI)
- Practice address
- 135 E M35
Gwinn, MI 49841-9160 - Phone
- (906) 346-9275
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302033124 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singletrack Health, PC | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCEJDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302033124 | MI | Yes |
Addresses
Primary practice location
135 E M35
Gwinn, MI 49841-9160
Mailing address
853 W Washington St
Marquette, MI 49855-4139
Phone (906) 225-5488
Other practice location 1
107 W Main St
Marquette, MI 49855-4651
Phone (906) 225-3988
Other practice location 2
107 W Main St Ste 2
Marquette, MI 49855-4651
Phone (906) 662-4070
Other practice location 3
580 W College Ave
Inpatient Pharmacy
Marquette, MI 49855-2705
Phone (906) 225-3495
Other practice location 4
301 Explorer St
Gwinn, MI 49841-2813
Phone (906) 346-4924
Other providers in Gwinn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.