Alison Louise Moon
Pharmacist in Portage, MI. Individual provider (NPI-1).
NPI number1033893243
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1033893243
- Entity type
- Individual (NPI-1)
- Name
- Alison Louise Moon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2023
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5302031737 | MI | Yes |
Practice location
520 Palomino AvePortage, MI 49002-6025
Phone 269-501-3823
Mailing address
6839 S Westnedge AvePortage, MI 49002-3582
Phone 269-327-9646
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 53 Pharmacist providers in Portage · All 1,955 providers in Portage
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