DR. RICHARD B MOON (NPI# 1699893446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699893446 |
| Entity Type | Individual |
| Full Name | DR. RICHARD B MOON |
| Credential | PHARMD |
| Practice Address |
863 Fairmount Ave Jamestown NY 14701-2521 |
| Practice Telephone | 7164841586 |
| Practice Fax Number | 7164880073 |
| Mailing Telephone | 7164841586 |
| Mailing Fax Number | 7164880073 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 037515 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632371 | Richard Moon | Counselor | 2710 W Placita Mesa Alta, Tucson, AZ 85742-8736 | 2020-02-25 |
| 1043797723 | Richard Sloan Moon | Family Medicine | 202 W Caskey, Florence, TX 76527 | 2018-07-25 |
| 1639220833 | Richard T Moon | Dentist | 6712 N Mountello Dr, Peoria, IL 61614-2328 | 2007-01-15 |
| 1942508734 | Richard David Moon | Psychologist | 1106 North Ave, Bridgeport, CT 06604-2710 | 2011-03-03 |
| 1346405834 | Richard L. Moon | Psychiatry & Neurology | 6402 Odana Rd, Madison, WI 53719-1123 | 2008-07-23 |
| 1396893210 | Richard Wonsub Moon | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1760566657 | Richard Moon | Anesthesiology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
| 1356336762 | Richard Hyung Sung Moon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Nevins St, Brighton, MA 02135-3514 | 2005-09-13 |
| Street Address |
863 FAIRMOUNT AVE |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295875730 | Southern Tier Home Infusion Inc | Pharmacy | 863 Fairmount Ave, Jamestown, NY 14701-2521 | 2007-02-07 |
| 1194958710 | Michael Adam Schifano | Pharmacist | 863 Fairmount Ave, Jamestown, NY 14701-2521 | 2009-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| 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 |
|---|---|---|---|---|
| 1528546249 | Clara Olaitan Ogunsan | Pharmacist | 6215 Stonewick Dr, Jamestown, NC 27282-8758 | 2018-08-03 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1437424504 | Maryanne Guertin | Pharmacist | 460 Sampan Ave, Jamestown, RI 02835-1739 | 2012-03-21 |
| 1699049288 | Linda Conatser | Pharmacist | 418a W Central Avenue, Jamestown, TN 38556 | 2012-02-29 |
| 1417234212 | Laurel Ann Haroldson | Pharmacist | 213 1st Ave N, Jamestown, ND 58401-3165 | 2011-11-08 |
| 1942515051 | Geoffrey William Freeman | Pharmacist | 138 Valleyview Ave, Jamestown, NY 14701-8415 | 2010-08-12 |
| 1821314733 | Kristin Holly Adams | Pharmacist | 1417 N. Main St., Jamestown, KY 42629 | 2010-04-16 |
| 1225350390 | Linda Marie Panteli | Pharmacist | 975 Fairmount Ave, Jamestown, NY 14701-2452 | 2010-02-17 |
| 1740467380 | Philip Joseph Carcione | Pharmacist | 738 Foote Ave, Jamestown, NY 14701-8201 | 2008-01-25 |
| 1538282967 | Lewis James Ives IIi | Pharmacist | 975 Fairmont W E, Jamestown, NY 14701 | 2007-04-09 |
| Find all providers in JAMESTOWN | ||||
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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.