ALYSSA JO MOEN PHARMD NPI 1255686093

NPI Information

  • NPI: 1255686093
  • Provider Name: ALYSSA JO MOEN, PHARMD
  • Classification: Pharmacist - 183500000X
  • Entity Type: Individual
  • Address: 3883 74TH AVE NE
    FORT TOTTEN, ND
    ZIP 58335
  • Phone: (701) 766-1612

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NPI Details

Alyssa Jo Moen, PHARMD is a pharmacist in Fort Totten, ND. The provider is 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. Alyssa Jo Moen, PHARMD NPI is 1255686093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3883 74TH AVE NE
FORT TOTTEN, ND
ZIP 58335
Phone: (701) 766-1612

The enumeration date for this NPI number is 7/18/2012 and was last updated on 7/2/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist118800MINNESOTANo
2183500000XPharmacistRPH5025NORTH DAKOTAYes

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: 11/21/2025

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