DR. TONY KONG MOUA PHD
NPI 1366047235
Pharmacist in White Bear Lake, MN

Active since December 01, 2020
4800 HIGHWAY 61 N, WHITE BEAR LAKE, MN 55110(651) 762-3864 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tony Kong Moua Phd NPPES

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

DR. TONY KONG MOUA PHD (NPI 1366047235) is an individual pharmacist in White Bear Lake, Minnesota, licensed in Minnesota (124929) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1366047235
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. TONY KONG MOUACredential: PHD
Location Address4800 HIGHWAY 61 NWhite Bear Lake, MN 55110-2844
Mailing Address3480 English StVadnais Heights, MN 55110-5204 · (651) 230-7857
Sole ProprietorNo
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
NPI 1366047235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 124929
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.
4800 HIGHWAY 61 N, White Bear Lake, MN 55110

Other Providers at the Same Location NPPES

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

Pharmacy
4800 HIGHWAY 61 N
WHITE BEAR LAKE, MN 55110

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 Tony Moua's NPI number?

The NPI number for Tony Moua is 1366047235. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Tony Moua located?

Tony Moua practices at 4800 Highway 61 N, White Bear Lake, MN 55110. The listed phone number is (651) 762-3864.

What is Tony Moua's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Tony Moua was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.