Bradley Moon, PHARMD - Pharmacist in Boise, ID

Bradley Moon, PHARMD is a Pharmacist based in Boise, Idaho. Bradley Moon is licensed to practice in Idaho (license number P8079) and his current practice location is 10700 Ustick Rd, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 322-7788.

NPI number for Bradley Moon is 1174000319 and his current mailing address is 8480 W Stonehaven St, Boise, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174000319.

Contact Information

Bradley Moon, PHARMD
10700 Ustick Rd,
Boise, ID 83713-5103
(208) 322-7788
Not Available

Healthcare Provider's Profile

Full NameBradley Moon
GenderMale
SpecialityPharmacist
Location10700 Ustick Rd, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174000319
  • Provider Enumeration Date: 07/20/2018
  • Last Update Date: 07/20/2018

Medical Identifiers

Medical identifiers for Bradley Moon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174000319NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist P8079 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Moon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bradley Moon, PHARMD
8480 W Stonehaven St,
Boise, ID 83704-7078

Ph: (208) 867-2127
Bradley Moon, PHARMD
10700 Ustick Rd,
Boise, ID 83713-5103

Ph: (208) 322-7788

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› Verified 3 days ago


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