LISA MOON (NPI# 1073877072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073877072 |
| Entity Type | Individual |
| Full Name | LISA MOON |
| Credential | PHARMD |
| Practice Address |
201 Junction Rd Madison WI 53717-2615 |
| Mailing Address |
6931 Raymond Rd Madison WI 53719-3957 |
| Practice Telephone | 6088278800 |
| Mailing Telephone | 6087900705 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16644-040 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046769 | Lisa Moon | Registered Nurse | 2584 Maple Ave, Palmyra, NY 14522-9372 | 2020-05-31 |
| 1821440165 | Lisa Moon | Registered Nurse | 13723 Findlay Ave, Apple Valley, MN 55124-8070 | 2016-07-11 |
| 1730589334 | Lisa Moon | Psychologist | 2025 E Main St, Suite 207c, Richmond, VA 23223-7069 | 2014-09-02 |
| 1801157532 | Lisa Moon | Obstetrics & Gynecology | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2012-05-29 |
| 1164728267 | Lisa R Moon | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2011-02-07 |
| 1902077951 | Lisa Moon | Social Worker | 515 Holly Street, Mcgehee, AR 71654 | 2008-03-18 |
| 1427112390 | Lisa J Moon | Social Worker | 21 Montauk Ave, New London, CT 06320-4906 | 2006-12-21 |
| 1174592869 | Lisa Elaine Moon | Optometrist | 360 Sierra College Dr, Suite 100, Grass Valley, CA 95945-5088 | 2006-03-15 |
| Street Address |
201 JUNCTION RD |
| City | MADISON |
| State | WI |
| Zip Code | 53717-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619926854 | Target Pharmacy T-1060 | Clinic/Center | 201 Junction Rd, Madison, WI 53717-2615 | 2006-05-06 |
| 1013338797 | Kelsy Richardson | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2013-12-23 |
| 1508152463 | Amanda Rose Lee | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2011-06-20 |
| 1851686851 | Kevin Look | Pharmacist | 201 Junction Rd, T-1060, Madison, WI 53717-2615 | 2011-06-17 |
| 1578866240 | Glanville Eye Care LLC | Optometrist | 201 Junction Rd, Madison, WI 53717-2615 | 2010-12-17 |
| 1356667281 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 201 Junction Rd, Madison, WI 53717-2615 | 2010-04-16 |
| 1417960014 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 Junction Rd, Madison, WI 53717-2615 | 2006-08-14 |
| 1144279837 | Charlie Lee | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
| Find all providers in zip 53717 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840956 | Candi Ashton | Pharmacist | 6011 N Rector Rd, Madison, IN 47250-7624 | 2020-11-01 |
| 1154931038 | Alyson Giragosian | Pharmacist | 4818 Kingsford Way, Madison, WI 53704-6498 | 2020-08-05 |
| 1801415641 | Genesee Fernandez | Pharmacist | 170 Sagebrook Dr, Madison, AL 35757-7684 | 2020-04-12 |
| 1417583568 | Kimberly Maerz | Pharmacist | 6701 Mineral Point Rd, Madison, WI 53705-4241 | 2020-03-20 |
| 1942845896 | Nikita Jain | Pharmacist | 857 Durham Rd, Madison, CT 06443-1827 | 2019-11-14 |
| 1437704939 | Morgan A Wynes | Pharmacist | 600 Highland Ave # F6160, Madison, WI 53792-0001 | 2019-08-02 |
| 1467005322 | Elisa Rowland | Pharmacist | 12070 County Line Rd Ste C, Madison, AL 35756-2000 | 2019-07-19 |
| 1669034849 | Jessica Chmielinski | Pharmacist | 2500 Overlook Ter Dept 119, Madison, WI 53705-2254 | 2019-07-08 |
| 1265903702 | Steven Michael Dixon | Pharmacist | 41 Chestnut Hill Rd, Madison, CT 06443-1816 | 2018-12-10 |
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.