IndividualActive
Bradley Moon, PHARMD
NPI 1174000319 · Pharmacist · Boise, ID
Bradley Moon, PHARMD is a Pharmacist provider in Boise, ID (NPI 1174000319).
Provider details
- NPI number
- 1174000319
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- P8079 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10700 Ustick Rd
Boise, ID 83713-5103
Phone: (208) 322-7788
Street-level locationGet directions
Mailing address
8480 W Stonehaven St
Boise, ID 83704-7078
Registry dates
- Enumerated
- 2018-07-20
- Last updated
- 2018-07-20
Frequently asked questions
- What is Bradley Moon's NPI number?
- Bradley Moon's National Provider Identifier (NPI) is 1174000319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Moon's specialty?
- Bradley Moon is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Bradley Moon located?
- Bradley Moon's practice location on file with NPPES is 10700 Ustick Rd, Boise, ID 83713-5103.
- What is Bradley Moon's phone number?
- The practice phone number listed in the NPPES registry for Bradley Moon is (208) 322-7788.
- Is Bradley Moon's NPI active?
- Yes — Bradley Moon's NPI (1174000319) is active in the NPPES registry as of the last update on 2018-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.