DR. AMANDA SMITH MOON (NPI# 1124346069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124346069 |
| Entity Type | Individual |
| Full Name | DR. AMANDA SMITH MOON |
| Credential | PHARM.D. |
| Practice Address |
916 Loganville Hwy Suite 400 Bethlehem GA 30620-2144 |
| Practice Telephone | 6789753061 |
| Practice Fax Number | 6789756031 |
| Mailing Telephone | 6789753061 |
| Mailing Fax Number | 6789756031 |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2010-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH023162 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609363746 | Amanda Moon | Social Worker | 3700 Rome Dr, Lafayette, IN 47905-4489 | 2018-04-14 |
| 1013316116 | Amanda Moon | Pharmacist | 1250 N Preston Rd, Prosper, TX 75078-9095 | 2014-08-14 |
| 1013438357 | Amanda Beth Moon | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2017-06-27 |
| 1487174215 | Amanda Moon | Behavior Technician | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2017-06-22 |
| 1982156774 | Amanda Moon | Specialist/Technologist | 3510 N Highway 17, Suite 220, Mt Pleasant, SC 29466-8227 | 2016-10-27 |
| 1598110595 | Amanda Moon | Speech-Language Pathologist | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-04-27 |
| 1144541186 | Amanda Theresa Moon | Dermatology | 219 N Broad St, 4th Floor, Philadelphia, PA 19107-1519 | 2010-06-14 |
| Street Address |
916 LOGANVILLE HWY SUITE 400 |
| City | BETHLEHEM |
| State | GA |
| Zip Code | 30620-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568463404 | Elizabeth Diane Patton | Pharmacist | 916 Loganville Hwy, Bethlehem, GA 30620-2144 | 2005-08-02 |
| 1326594763 | Ann Marie Vu | Pharmacist | 916 Loganville Hwy, Bethlehem, GA 30620-2144 | 2016-08-26 |
| 1437520145 | Holly Brown | Pharmacist | 916 Loganville Hwy, Ste 200, Bethlehem, GA 30620-2144 | 2015-10-08 |
| 1477922359 | Kristofer Paul Chamblee | Physical Therapist | 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620-2144 | 2015-09-21 |
| 1457742561 | Aaron Craig Weeks | Physical Therapist | 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620-2144 | 2015-02-11 |
| 1578953519 | Courtney Stone Fuller | Physical Therapist | 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620-2144 | 2015-01-29 |
| 1437554433 | David Lewis Clay | Physical Therapist | 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620-2144 | 2014-11-03 |
| 1881000909 | Kelly Marie Burns | Pharmacist | 916 Loganville Hwy, Bethlehem, GA 30620-2144 | 2014-07-09 |
| 1831523265 | Jessica Wallace Saville | Physical Therapist | 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620-2144 | 2013-08-21 |
| 1447698717 | Peachtree Children's Dentistry Bethlehem | Dentist | 916 Loganville Hwy, Bethlehem, GA 30620-2144 | 2013-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| 1518445683 | Bethlehem Dentistry, LLC | Dentist | 255 Gateway Drive, Suite 200, Bethlehem, GA 30620 | 2018-08-01 |
| 1881621233 | Manan I Shah | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2006-06-28 |
| 1871088997 | Stephanie Grace Bair | Occupational Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-30 |
| 1588159958 | John David Williams | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-27 |
| 1023460938 | Virginia Persons Labella | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620 | 2016-07-05 |
| 1649656356 | Kimberly Christine Thomas | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2015-08-04 |
| 1336468131 | Manan I Shah Md PC | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2010-05-19 |
| 1265998454 | Dawn Crook | Community/Behavioral Health | 509 Harry Mccarty Rd, Bethlehem, GA 30620-1707 | 2019-02-13 |
| 1447667233 | Susan Hardy Leighty | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620-1759 | 2014-07-14 |
| Find all providers in zip 30620 | ||||
| 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 |
|---|---|---|---|---|
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1104312032 | Whitney Oberkofler | Pharmacist | 916 Loganville Hwy Ste 200, Bethlehem, GA 30620-2145 | 2018-07-03 |
| 1801395652 | Stephen Szemenyei | Pharmacist | 5000 Wegmans Dr, Bethlehem, PA 18017-9409 | 2018-02-07 |
| 1760881601 | Hansneet Sarang | Pharmacist | 1089 Blair Rd, Bethlehem, PA 18017-3071 | 2014-08-16 |
| 1336430040 | Ahmed Yousuf | Pharmacist | 104 E 3rd St, Bethlehem, PA 18015-1306 | 2011-04-28 |
| 1902196850 | Elizabeth M Varghese | Pharmacist | 1781 Stefko Blvd, Bethlehem, PA 18017-6241 | 2011-04-12 |
| 1497054548 | Peter J Weremedic | Pharmacist | 1741 W Market St Apt 4, Bethlehem, PA 18018-6431 | 2011-03-15 |
| 1013215458 | Lorie L Smith | Pharmacist | 2269 Schoenersville Rd, Bethlehem, PA 18017-7418 | 2011-03-09 |
| 1154643013 | Ronald Ray Carrington | Pharmacist | 3843 Linden St, Bethlehem, PA 18020-1140 | 2010-02-19 |
| 1699903278 | Scott Dennis Gerhart | Pharmacist | 2178 W Union Blvd, Bethlehem, PA 18018-2011 | 2009-06-23 |
| Find all providers in BETHLEHEM | ||||
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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.