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Moo Gyoun Kwon

Pharmacist β€’ Palm Bay, FL

Active NPI 1093609455 Individual Practitioner Male Practitioner
Practice location in NPPES

1599 Palm Bay Rd
Palm Bay, FL 329053844

Call 3217259961 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1599 Palm Bay Rd

Palm Bay, FL 329053844

Telephone 3217259961
Organization at the Same NPPES Address or Phone
Holiday Cvs Llc Facility NPI 1770687675

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Palm Bay and Florida

55 active clinicians are listed under Pharmacist with a practice address in Palm Bay, FL (19,430 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Palm Bay

0% of these 55 clinicians have the CMS telehealth indicator.

0% of these 55 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-05
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES FL 69931

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1083218770

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 05, 2025

Registered at 1599 PALM BAY RD, PALM BAY, FL 329053844 (Tel: 3217259961)

πŸ“
Updated Business Mailing Address December 05, 2025

Registered at 1599 PALM BAY RD, PALM BAY, FL 329053844 (Tel: 3217259961)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2025

Pharmacist (license number reported to NPPES: FL 69931)

βœ…
NPI Profile Active June 09, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2025

Registered at 450 LA CROIX RD SW, PALM BAY, FL 329087119 (Tel: 3216162226)

πŸ“
Business Mailing Address (Initial Record) June 09, 2025

Registered at 450 LA CROIX RD SW, PALM BAY, FL 329087119 (Tel: 3216162226)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2025

Recorded as MOO KWON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 09, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093609455
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2025
Last Update: December 05, 2025
Sole Proprietor: No

Other Pharmacists in Palm Bay

All Pharmacists in Palm Bay

Mailing Address

1599 Palm Bay Rd

Palm Bay, FL 329053844

Phone: 3217259961

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.