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KELLY J. MOON RPH
NPI 1881712230
Pharmacist in Jamestown, NY

Active since March 26, 2007
12 CARROLL ST, JAMESTOWN, NY 14701(716) 661-1520(716) 661-4833 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly J. Moon Rph NPPES

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

KELLY J. MOON RPH (NPI 1881712230) is an individual pharmacist in Jamestown, New York, licensed in New York (037498) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1881712230
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKELLY J. MOONCredential: RPH
Location Address12 CARROLL STJamestown, NY 14701-4755
Mailing Address32 Durand StFrewsburg, NY 14738-9537 · (716) 569-4331 · Fax (716) 661-4833
Phone(716) 661-1520
Fax(716) 661-4833
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881712230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 037498
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.
12 CARROLL ST, Jamestown, NY 14701
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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 Kelly Moon's NPI number?

The NPI number for Kelly Moon is 1881712230. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Kelly Moon located?

Kelly Moon practices at 12 Carroll St, Jamestown, NY 14701. The listed phone number is (716) 661-1520.

What is Kelly Moon'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 Kelly Moon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.