MOOSE PHARMACY OF MT HOLLY LLC


Address: 125 W Central Ave, Mount Holly, NC 28120
Phone: 7048272211

MOOSE PHARMACY OF MT HOLLY LLC (NPI# 1437648334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437648334
Entity Type Organization
Organization Name MOOSE PHARMACY OF MT HOLLY LLC
Other Organization Name MOOSE PHARMACY OF MT. HOLLY
Practice Address 125 W Central Ave
Mount Holly
NC 28120
Mailing Address 125 W Central Ave
Mount Holly
NC 28120-1616
Practice Telephone 7048272211
Practice Fax Number 7048277134
Mailing Telephone 7048272211
Mailing Fax Number 7048277134
Enumeration Date 2018-05-07
Last Update Date 2018-05-18
Authorized Official Name KYLE YODER (MANAGER)
Authorized Official Telephone 7048272211
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
13746 NC Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2177554 01
NC PENDING 05

Other Provider/Organization Names

Other Name Type Code
Moose Pharmacy of Mt. Holly Doing Business As Name - Organization

Office Location

Street Address 125 W CENTRAL AVE
City MOUNT HOLLY
State NC
Zip Code 28120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275601411 Charleys Drugs & Sundries Inc Pharmacy 125 W Central Ave, Mount Holly, NC 28120-1616 2006-12-04
1649558404 Brandi Michelle Grist Pharmacist 125 W Central Ave, Mount Holly, NC 28120-1616 2011-07-28
1558417626 Gary Lee Harrill Pharmacist 125 W Central Ave, Mount Holly, NC 28120-1616 2007-01-25
1902951049 Steven Blaine Painter Pharmacist 125 W Central Ave, Mount Holly, NC 28120-1616 2007-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851775027 Wesley Marsh Dentist 176 Palomino Trl, Mt Holly, NC 28120 2015-07-16
1407094642 Kelly Lee Coney Pacious Physical Therapist 328 Whippoorwill Lane, Mount Holly, NC 28120 2009-01-26
1427183979 Touched By Angels Home Healthcare, Inc. Home Health 16 Oak Grove St, Mt Holly, NC 28120 2007-02-23
1417052119 Andrew Rogers Oblinger Dentist 247 W Catawba Ave, Mt Holly, NC 28120 2006-09-14
1104898634 Michael Alson Smith Family Medicine 305 W Catawba Ave, Mount Holly, NC 28120 2006-02-07
1972642049 Woodlawn Haven, Inc Assisted Living Facility 301 Craig St, Mount Holly, NC 28120-1265 2007-02-06
1306455126 A Place 4 Me, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 2020-07-28
1487946380 Monica K Rendon Specialist 320 Langhorne Dr, Mt Holly, NC 28120-1452 2011-05-10
1033750674 Amanda Marie Antczak Counselor 129 Maggie Dr, Mount Holly, NC 28120-1486 2019-10-04
1235753781 Jessica Bailey Mcbee Specialist/Technologist 306 Adrian St, Mount Holly, NC 28120-1506 2020-06-01
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336747872 Jordon Baker Acquisitions, Inc. Pharmacy 604 S Hwy 226, Bakersville, NC 28705 2020-10-16
1871100164 Pittsboro Pharmacy Pharmacy 630 East St Ste 11, Pittsboro, NC 27312-9475 2020-09-30
1245847599 Western Brothers LLC Pharmacy 1943 E 7th St, Charlotte, NC 28204-2417 2020-09-29
1881200897 University of North Carolina Health Care System Pharmacy 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 2020-09-16
1730792615 Jill Manning West Pharmacy 118 Mackenan Dr., Suite 200, Cary, NC 27511 2020-08-28
1912516196 Avs 2020 Inc Pharmacy 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 2020-07-23
1780202788 Rosemond Salia Pharmacy 720 E Highway 74 Business, Rockingham, NC 28379 2020-07-07
1801410295 Scenic Pharmacy, Inc Pharmacy 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 2020-06-02
1356977672 Cape Fear Discount Drug - Hope Mills, LLC Pharmacy 3018 N Main St, Hope Mills, NC 28348-1722 2020-03-18
1639705957 Cape Fear Discount Drug - Ramsey, LLC Pharmacy 4417 Ramsey St, Fayetteville, NC 28311-2134 2020-03-18
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Competitor

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City MOUNT HOLLY
Zip Code 28120

Improve Information

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Dataset Information

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.

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