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MOONEY'S PHARMACY INC. NPI 1528180833


NPI Information

NPI: 1528180833
Provider Name: MOONEY'S PHARMACY, INC.

Doing Business As: MOONEY'S HOME MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 44D2186193

Address:
1115 N ROAN ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 926-3337
Get Directions

MOONEY'S PHARMACY, INC. is a durable medical equipment medical supplies in Johnson City, TN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MOONEY'S PHARMACY, INC. NPI is 1528180833. The provider is registered as an organization entity type.
The provider Is Doing Business As Mooney's Home Medical Equipment.

The provider's business location address is:

1115 N ROAN ST
JOHNSON CITY, TN
ZIP 37601-901
Phone: (423) 926-3337

The provider's authorized official is Thomas Mooney .
The authorized official title is Owner and has the following contact phone number (423) 926-3337.

The CLIA number assigned to this NPI record is 44D2186193 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 9/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies887TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14134540OTHERTENNESSEEBLUE CROSS BLUE SHIELD
25340000001MEDICARE NSCTENNESSEE
31454962MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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