Active NPI
Janice M Moon, RPH
- Pharmacist
- Goldsboro, NC
National Provider Identifier
1821167701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7263
- Practice address
- 400 Old Smithfield Rd
Goldsboro, NC 27530-8464 - Phone
- (919) 581-4686
- NPI assigned
- Nov 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7263 | NC | Primary |
| Pharmacist | 183500000X | 20202208075 | VA |
Addresses
Primary practice location
400 Old Smithfield Rd
Goldsboro, NC 27530-8464
Mailing address
PO Box 1021
Goldsboro, NC 27533-1021
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202208075 | Other | VA | PHARMACY LICENSE NUMBER |
| 7263 | Other | NC | PHARMACY LICENSE NUMBER |
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 |
|---|---|---|---|
| 7263 | NC | MD | Pharmacist |
| 20202208075 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821167701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1021",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275331021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 OLD SMITHFIELD RD",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275308464",
"telephone_number": "919-581-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "JANICE",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "7263",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "20202208075",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "0202208075",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "7263",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
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.