Active NPI
Todd Barret Moran, PHARMD, RPH
- Pharmacist
- Omaha, NE
National Provider Identifier
1912048091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12539
- Practice address
- 13220 Birch Dr Ste 200
Omaha, NE 68164-5434 - Phone
- (778) 484-3798
- Fax
- (515) 559-2442
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 12539 | NE | Primary |
Addresses
Primary practice location
13220 Birch Dr Ste 200
Omaha, NE 68164-5434
Mailing address
728 S 153Rd Cir
Omaha, NE 68154-2829
Phone (402) 598-7089
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12539 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1912048091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 S 153RD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542829",
"telephone_number": "402-598-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13220 BIRCH DR STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645434",
"telephone_number": "778-484-3798",
"fax_number": "515-559-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "TODD",
"middle_name": "BARRET",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.