MEDICARE: MOODRX, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1841020013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOODRX, LLC

Provider Business Mailing Address
First Line	:	910 GOLDEN DR
Second Line	:
City	:	NEWARK
State	:	OH
Zip	:	43055-1746
Country	:	US
Telephone Number	:	740-334-2527
Fax Number	:	740-964-6060

Provider Business Practice Location Address
First Line	:	595 COUNTRY CLUB DR
Second Line	:
City	:	NEWARK
State	:	OH
Zip	:	43055-2154
Country	:	US
Telephone Number	:	740-239-8080
Fax Number	:	740-964-6060

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MRS. ANDREA M. JONES
Credential	:	RN, BSN, APRN-BC
Telephone Number	:	740-334-2527

Provider Enumeration Date	:	08/03/2024
Last Update Date	:	11/29/2025

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Directions to “MOODRX, LLC ” Practice Location

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