Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Moon, PHARMD

Individual provider Pharmacist · NPI 1174000319

Bradley Moon, PHARMD is a Pharmacist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2018.

Licensed in
ID
In the registry since
2018
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

10700 Ustick Rd
Boise, ID 83713-5103
Phone: (208) 322-7788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P8079 (ID)

Record details

NPI number1174000319
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 20, 2018
Last updated in NPPESJuly 20, 2018
Mailing address8480 W Stonehaven St, Boise, ID 83704-7078

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