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MOONS PHARMACY
NPI 1073657011
Pharmacy - Community/Retail Pharmacy in Blackduck, MN

Active since February 15, 2007
17 MAIN ST S, BLACKDUCK, MN 56630(218) 835-7740(218) 835-7869 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 15, 2017, Dec 21, 2016 (2 updates tracked since 2016).

About Moons Pharmacy NPPES

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

MOONS PHARMACY (NPI 1073657011) is a healthcare organization registered as a community/retail pharmacy in Blackduck, Minnesota and active in the NPI registry since February 2007. The organization lists Joseph Moon, Owner Pic, as its authorized official.

NPPES Registry Identity

NPI1073657011
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTAM OF BLACKDUCK PA
Location Address17 MAIN ST SBlackduck, MN 56630-4245
Mailing AddressPo Box 280Blackduck, MN 56630-0280 · (218) 835-7740
Phone(218) 835-7740
Fax(218) 835-7869
Organization SubpartNo
Authorized OfficialJoseph MoonOwner Pic · (218) 835-7740
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMarch 15, 20172 updates tracked since enumeration
✔ NPI 1073657011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 260409
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
17 MAIN ST S, Blackduck, MN 56630
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Other Names 1

Doing Business AsMoons Pharmacy

Other Identifiers 2

Other2044128Pk
Medicaid163560300MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

MOON'S PHARMACY
Pharmacy (Community/Retail Pharmacy)
17 MAIN ST S
BLACKDUCK, MN 56630
Beltrami County (218) 835-7740

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 Tam Of Blackduck PA's NPI number?

The NPI number for Tam Of Blackduck PA is 1073657011. It was assigned to this organization in the NPPES registry on February 15, 2007. The provider is doing business as Moons Pharmacy.

Where is Tam Of Blackduck PA located?

Tam Of Blackduck PA is located at 17 Main St S, Blackduck, MN 56630. The listed phone number is (218) 835-7740.

What is Tam Of Blackduck PA's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Tam Of Blackduck PA accept?

Health plans from Medica list Tam Of Blackduck PA 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 Tam Of Blackduck PA was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.