Mooney's Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1663 Issued in TN

Legal business name

MOONEY'S PHARMACY

Doing business as

Mooney's Pharmacy

Practice address

1107 N Roan St
Johnson City, TN 37601-3901

Phone

(423) 926-7333

Fax

(423) 926-6222

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Mooney, DPH

Title

President/ Pharmacist

Phone

(423) 926-7333

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MOONEY'S PHARMACY Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mooney's Pharmacy, Inc.

  dba Mooney's Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, TN
  • NPI 1528180833
  NPPES parent name

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1982766903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013901",
            "telephone_number": "423-926-7333",
            "fax_number": "423-926-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013901",
            "telephone_number": "423-926-7333",
            "fax_number": "423-926-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONEY'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/ PHARMACIST",
        "authorized_official_telephone_number": "423-926-7333",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1663",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454962",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOONEY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Herron Moody, DDS
• Paul Tyler Moody, DPT
• Summer L Moody, FNP-C
• Tammy R. Moody, LCSW
• Thomas Rouse Mooney, PHARMACIST
• Mooney's Pharmacy, Inc. (Mooney's Home Medical Equipment)
• Betheny Moore
• Brad Edward Moore, NP
• Brandon K Moore, DO
• Corrinne Elizabeth Moore

• Community/Retail Pharmacy in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.