Individual provider Active NPI

Federico Eusebio Moron, PHARMD

  • Pharmacist
  • Mission, TX
National Provider Identifier
1932300332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42314 Issued in TX
Practice address
1242 E Business Highway 83
Ste 7
Mission, TX 78572-9310
Phone
(956) 583-2700
Fax
(956) 583-2714
NPI assigned
May 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42314 TX Primary

Addresses

Primary practice location

1242 E Business Highway 83
Ste 7
Mission, TX 78572-9310

Mailing address

2601 Sarah Ave
Apt 343
McAllen, TX 78503-8712
Phone (832) 529-8371

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

State licenses

LicenseStateTypeSpecialty
42314TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mermaid Walking Inc Current Accepting new patients
Mermaid Walking Inc Current Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932300332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SARAH AVE",
            "address_2": "APT 343",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785038712",
            "telephone_number": "832-529-8371",
            "fax_number": "956-583-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 E BUSINESS HIGHWAY 83",
            "address_2": "STE 7",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785729310",
            "telephone_number": "956-583-2700",
            "fax_number": "956-583-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORON",
        "first_name": "FEDERICO",
        "middle_name": "EUSEBIO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "42314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

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.

Verify at the official NPI Registry.