DAVID Y MOON


Address: 4646 John R St, Detroit, MI 48201-1916
Phone: 3135763233

DAVID Y MOON (NPI# 1710098009) 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) 1710098009
Entity Type Individual
Full Name DAVID Y MOON
Credential RPH
Practice Address 4646 John R St
Detroit
MI 48201-1916
Mailing Address 750 Trailwood Path
Apt D
Bloomfield Hills
MI 48301-1738
Practice Telephone 3135763233
Mailing Telephone 2488551543
Enumeration Date 2006-08-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 034573-1 NY Pharmacy Service Providers

Other Providers DAVID MOON

NPI Name Taxonomy Address Enumeration
1538469465 David Moon Physician Assistant 9920 Independence Park Dr Ste 100, Henrico, VA 23233-1487 2010-10-26
1821246802 David Moon Contractor 1619 River Dr, Hammond, IN 46324-3342 2008-09-03
1073573093 David Robert Moon Radiology 409 Fulton St, Palo Alto, CA 94301-1326 2006-03-24
1215917042 David D Moon Family Medicine 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0373 2006-01-18
1912324104 David Moon Radiology 2 W Fern Ave, Redlands, CA 92373-5916 2014-03-25
1164866414 David Sung-wook Moon Psychiatry & Neurology 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2013-04-17
1417053133 David W Moon Family Medicine 276 N Ron Mcnair Blvd, Lake City, SC 29560-2462 2006-09-16
1831116847 David Andrew Moon Optometrist 3902 Creekside Loop, Suite 110, Yakima, WA 98902-4876 2006-07-16
1548213812 David Myungkee Moon Radiology 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 2006-05-18
1245218627 David D. Moon Emergency Medicine 4567 E. 9th Avenue, Denver, CO 80220-5337 2006-01-05

Office Location

Street Address 4646 JOHN R ST
City DETROIT
State MI
Zip Code 48201-1916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356344121 Christopher Emil Hermann Nurse Practitioner 4646 John R St, Detroit, MI 48201-1916 2005-05-24
1881293892 Derrick Williams Registered Nurse 4646 John R St, Detroit, MI 48201-1916 2020-10-21
1598371544 Sonia Govil Dietitian, Registered 4646 John R St, Detroit, MI 48201-1916 2020-09-16
1740893569 Nicholas Edward Peters Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-08-31
1710597455 Amber Michelle Young Social Worker 4646 John R St, Detroit, MI 48201-1916 2020-08-07
1104434471 Zeinab H Moussa Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-22
1235747346 Samantha Beth Lewis Psychologist 4646 John R St, Detroit, MI 48201-1916 2020-07-15
1477171189 Rima Mohammad Fardos Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-09
1992323869 Sarah F Waqhar Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-08
1619594181 Mellisa Ann Boyle Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366073926 Peter Shaouni Pharmacist 15521 W 7 Mile Rd, Detroit, MI 48235-2927 2020-01-31
1598396285 Mehak Siddiqui Pharmacist 200 Renaissance Ctr, Detroit, MI 48243-1300 2020-01-31
1073143384 Marco Santos Pharmacist 6862 Michigan Ave, Detroit, MI 48210-2868 2020-01-26
1841774528 Belief Aghoghome Emadamerho Pharmacist 13641 East 7 Mile Rd, Detroit, MI 48205 2018-09-19
1376025262 Maeghan Hensler Pharmacist 7800 Outer Dr., Detroit, MI 48235 2018-09-06
1417445719 Wagdi Abdulla Pharmacist 14424 Schaefer Hwy, Detroit, MI 48227-3668 2018-04-23
1528579331 Mahmoud Srour Pharmacist 4100 Woodward Ave Ste Pharmacy, Detroit, MI 48201-2173 2017-10-19
1477073039 Emalee M Osentoski Pharmacist 4100 John R St Ste Hp00sp, Detroit, MI 48201-2013 2017-06-26
1144755588 Eric Foster Pharmacist 11574 Roxbury St, Detroit, MI 48224-1141 2017-04-24
1013440460 Maqsood Ahmad Pharmacist 12170 Conant St Ste E, Detroit, MI 48212-4129 2017-04-04
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48201

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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