Caitlin Eletta Moon

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

09214109 Issued in OH

Practice address

4580 Liberty Ave
Vermilion, OH 44089-3285

Phone

(440) 967-2018

NPI assigned

Mar 15, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of Ohio Inc

  • Community/Retail Pharmacy
  • Vermilion, OH
  • NPI 1407965759
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1851092829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 CUMMINGS RD",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440892213",
            "telephone_number": "419-202-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440893285",
            "telephone_number": "440-967-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "CAITLIN",
        "middle_name": "ELETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OH",
            "license": "09214109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mishalay Milan
• Thomas W Miller
• A'Mya Mishak
• Kathy L Mitchell, LISWS
• Maura Margaret Moes, RN, IBCLC
• Megan Morgan
• Leann Marie Morris, BSW,CDCA,OBBC
• Lisa Marie Morrow, RN
• Laquaysha Mosley
• Laura Moyer

• Pharmacy Technician in Vermilion, OH
• Providers in Vermilion, OH by specialty
• Pharmacy Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.