MOOSE PHARMACY OF MT. HOLLY
NPI 1437648334
Pharmacy - Community/Retail Pharmacy in Mount Holly, NC

Q: What is Moose Pharmacy Of Mt Holly LLC's NPI number?

The NPI number for Moose Pharmacy Of Mt Holly LLC is 1437648334. It was assigned to this organization in the NPPES registry on May 7, 2018. The provider is doing business as Moose Pharmacy Of Mt. Holly.

Q: What is Moose Pharmacy Of Mt Holly LLC's specialty?

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

Active since May 07, 2018

125 W CENTRAL AVE, MOUNT HOLLY, NC 28120(704) 827-2211(704) 827-7134 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2018, May 7, 2018 (2 updates tracked since 2018).

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About Moose Pharmacy Of Mt. Holly NPPES

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

MOOSE PHARMACY OF MT. HOLLY (NPI 1437648334) is a healthcare organization registered as a community/retail pharmacy in Mount Holly, North Carolina and active in the NPI registry since May 2018. The organization lists Kyle Yoder, Manager, as its authorized official.

NPPES Registry Identity

NPI1437648334

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMOOSE PHARMACY OF MT HOLLY LLC

Location Address125 W CENTRAL AVEMount Holly, NC 28120

Mailing Address125 W Central AveMount Holly, NC 28120-1616 · (704) 827-2211 · Fax (704) 827-7134

Phone(704) 827-2211

Fax(704) 827-7134

Organization SubpartNo

Authorized OfficialKyle YoderManager · (704) 827-2211

Enumeration DateMay 7, 2018

Last NPPES UpdateMay 18, 20182 updates tracked since enumeration

✔ NPI 1437648334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NC · 13746

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

125 W CENTRAL AVE, Mount Holly, NC 28120

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Other Names 1

Doing Business AsMoose Pharmacy Of Mt. Holly

Other Identifiers 2

Other2177554Pk

MedicaidPENDINGNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 34D2188325

Moose Pharmacy Of Mt Holly · Mount Holly, NC

Expired · Jul 14, 2026

CLIA Number34D2188325

Laboratory TypePharmacy

Certificate Effective DateJuly 15, 2024

Certificate Expiration DateJuly 14, 2026

Laboratory DirectorBrandi Grist

Laboratory Phone(704) 827-2211

Laboratory LocationMoose Pharmacy Of Mt Holly125 W Central Avenue, Mount Holly, NC 28120

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

66 services66 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

58 services58 patients

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Other Providers at the Same Location NPPES 6

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

CHARLEYS DRUGS & SUNDRIES INC

Pharmacy (Community/Retail Pharmacy)