JESSICA LYNN MOON (NPI# 1194133934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194133934 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN MOON |
| Credential | PHARM.D. |
| Practice Address |
2303 S Highway 65 Marshall MO 65340-3734 |
| Mailing Address |
2303 S Highway 65 Suite B Marshall MO 65340-3734 |
| Practice Telephone | 6608311687 |
| Practice Fax Number | 6608311688 |
| Mailing Telephone | 6608311687 |
| Mailing Fax Number | 6608311688 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2014025415 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033445846 | Jessica Ann Moon | Licensed Practical Nurse | 439 E Union St, A, Newark, NY 14513-1609 | 2009-10-29 |
| 1477174324 | Jessica Moon | Pharmacist | 100 S Douglas Blvd, Midwest City, OK 73130-4207 | 2020-05-01 |
| 1154858702 | Jessica Sue Moon | Student in an Organized Health Care Education/Training Program | 1000 West Carson Street, Torrance, CA 90509 | 2017-05-15 |
| 1669926036 | Jessica Moon | Counselor | 359 Fenn St, Pittsfield, MA 01201-5261 | 2016-08-15 |
| 1952749681 | Jessica Moon | Ophthalmology | 88 Ansel Hallet Rd, West Yarmouth, MA 02673 | 2013-06-04 |
| 1861744518 | Jessica Anne Moon | Counselor | 1441 Constitution Blvd Ste 200, Salinas, CA 93906-3127 | 2012-10-04 |
| 1598819237 | Jessica Lynn Moon | Physical Therapist | 593 Eddy St, Providence, RI 02903-4923 | 2007-01-22 |
| Street Address |
2303 S HIGHWAY 65 |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205873718 | Eric Paul Horning | Specialist/Technologist | 2303 S Highway 65, Marshall, MO 65340-3734 | 2006-06-01 |
| 1831702174 | Mary Kate Hawes | Nurse Practitioner | 2303 S Highway 65, Marshall, MO 65340-3734 | 2020-08-26 |
| 1497920144 | Columbia Surgical Associates, Inc | Surgery | 2303 S Highway 65, Csa Marshall Clinic, Marshall, MO 65340-3734 | 2008-04-24 |
| 1720024557 | Jack R Uhrig | Internal Medicine | 2303 S Highway 65, Marshall, MO 65340-3702 | 2006-06-21 |
| 1790721520 | Timothy J Ryan | Internal Medicine | 2303 S Highway 65, Marshall, MO 65340-3702 | 2006-06-21 |
| 1942242003 | Douglas P Koehn | Family Medicine | 2303 S Highway 65, Marshall, MO 65340-3702 | 2006-06-12 |
| 1447292776 | Jamie G Ulbrich | Family Medicine | 2303 S Highway 65, Marshall, MO 65340-3702 | 2006-06-12 |
| 1083652416 | Mica K Newman-koehn | Family Medicine | 2303 S Highway 65, Marshall, MO 65340-3702 | 2006-06-04 |
| 1730127259 | Kerrin Thomas Papreck | Family Medicine | 2303 S Highway 65, Marshall, MO 65340-3702 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| 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 |
|---|---|---|---|---|
| 1093315806 | Jacob Hoelscher | Pharmacist | 108 Kyden Drive, Marshall, IL 62441 | 2020-10-30 |
| 1891319307 | Blaise Ndukwe | Pharmacist | 120 Redfield Plz Ste 120, Marshall, MI 49068-1466 | 2020-05-31 |
| 1689207433 | John William Anderson | Pharmacist | 5580 Hwy 70, Marshall, NC 28753 | 2020-02-20 |
| 1710352513 | Abel Stevenson | Pharmacist | 300 East End Blvd, Marshall, TX 75672 | 2015-12-04 |
| 1780057752 | John Andrew Lappin | Pharmacist | 416 E Mitchell St, Marshall, MO 65340-2734 | 2015-11-12 |
| 1023488467 | Kimberly Mitchell | Pharmacist | 5580 Us 25/70 Hwy, Marshall, NC 28753-6499 | 2015-09-28 |
| 1104241512 | Laura Runstrom | Pharmacist | 809 Southview Ct W # 2, Marshall, MN 56258-3105 | 2014-02-20 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1629367297 | Thurman Allen | Pharmacist | 568 Orchard Rd, Marshall, MI 49068-8210 | 2011-04-04 |
| 1598072472 | Jonathan Quentin Robinson | Pharmacist | 941 South Cherokee Suite 1, Marshall, MO 65340-3646 | 2010-09-13 |
| Find all providers in MARSHALL | ||||
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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.