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MOOSE PHARMACY OF SALISBURY LONG-TERM CARE
NPI 1033576087
Pharmacy - Long Term Care Pharmacy in Salisbury, NC

Active since January 21, 2016CLIA 34D1103520 · Waiver
1408 W INNES ST, SALISBURY, NC 28144(704) 636-6340 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, Jan 21, 2016 (2 updates tracked since 2016).

About Moose Pharmacy Of Salisbury Long-term Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOOSE PHARMACY OF SALISBURY LONG-TERM CARE (NPI 1033576087) is a healthcare organization registered as a long term care pharmacy in Salisbury, North Carolina and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Kyle Yoder, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1033576087
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMOOSE PHARMACY OF SALISBURY
Location Address1408 W INNES STSalisbury, NC 28144-2502
Mailing Address1408 W Innes StSalisbury, NC 28144-2502 · (704) 636-6340
Phone(704) 636-6340
Organization SubpartNo
Authorized OfficialKyle YoderManaging Member · (704) 636-6340
Enumeration DateJanuary 21, 2016
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1033576087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
1408 W INNES ST, Salisbury, NC 28144
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Other Names 1

Doing Business AsMoose Pharmacy Of Salisbury Long-term Care

Other Identifiers 1

Medicaid0805812NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1103520

Moose Pharmacy Of Salisbury · Salisbury, NC
Active · expires Aug 11, 2027
CLIA Number34D1103520
Laboratory TypePharmacy
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorKyle J. Yoder
Laboratory Phone(704) 636-6340
Laboratory LocationMoose Pharmacy Of Salisbury1408 W Innes St, Salisbury, NC 28144
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN JADE BOWERS PHARMD
Pharmacist
1408 W INNES ST
SALISBURY, NC 28144
Rowan County (704) 636-6340
DR. KYLE YODER PHARM.D.
Pharmacist
1408 W INNES ST
SALISBURY, NC 28144
Rowan County (704) 636-6340
MOOSE PHARMACY OF SALISBURY LLC
Pharmacy (Community/Retail Pharmacy)
1408 W INNES ST
SALISBURY, NC 28144
Rowan County (704) 636-6340
DR. AMBER MONIQUE MORGAN PHARMD
Pharmacist
1408 W INNES ST
SALISBURY, NC 28144
Rowan County (704) 636-6340
TOWNE PHARMACY
Pharmacy (Community/Retail Pharmacy)
1408 W INNES ST
SALISBURY, NC 28144
Rowan County (704) 636-6340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moose Pharmacy Of Salisbury's NPI number?

The NPI number for Moose Pharmacy Of Salisbury is 1033576087. It was assigned to this organization in the NPPES registry on January 21, 2016. The provider is doing business as Moose Pharmacy Of Salisbury Long-Term Care.

Where is Moose Pharmacy Of Salisbury located?

Moose Pharmacy Of Salisbury is located at 1408 W Innes St, Salisbury, NC 28144. The listed phone number is (704) 636-6340.

What is Moose Pharmacy Of Salisbury's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Moose Pharmacy Of Salisbury hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1103520) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Moose Pharmacy Of Salisbury accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list Moose Pharmacy Of Salisbury as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moose Pharmacy Of Salisbury was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.