Active NPI
Martin Pierce Mooney, RPH
- Pharmacist
- Las Cruces, NM
National Provider Identifier
1942412986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4258
- Practice address
- 1110 Golf Club Rd
Las Cruces, NM 88011 - Phone
- (619) 980-8976
- Fax
- (505) 521-3093
- NPI assigned
- May 3, 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 | 4258 | NM | Primary |
Addresses
Primary practice location
1110 Golf Club Rd
Las Cruces, NM 88011
Mailing address
1110 Golf Club Rd
Las Cruces, NM 88011
Phone (619) 980-8976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4258 | Other | NM | REG PHARMACIST LICENSE # |
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 |
|---|---|---|---|
| 4258 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942412986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 GOLF CLUB RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "619-980-8976",
"fax_number": "505-521-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 GOLF CLUB RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "619-980-8976",
"fax_number": "505-521-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "MARTIN",
"middle_name": "PIERCE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "4258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REG PHARMACIST LICENSE #",
"identifier": "4258",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
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.