Active NPI
Gina Moltz, RPH
- Pharmacist
- Jarrettsville, MD
National Provider Identifier
1023421674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12105
- Practice address
- 3714 Norrisville Rd
Jarrettsville, MD 21084-1419 - Phone
- (410) 557-7717
- Fax
- (410) 557-4336
- NPI assigned
- Jun 10, 2014
- Last updated
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12105 | MD | Primary |
Addresses
Primary practice location
3714 Norrisville Rd
Jarrettsville, MD 21084-1419
Mailing address
3714 Norrisville Rd
PO Box 57
Jarrettsville, MD 21084-1419
Phone (410) 557-7717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12105 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1023421674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 NORRISVILLE RD",
"address_2": "PO BOX 57",
"city": "JARRETTSVILLE",
"state": "MD",
"postal_code": "210841419",
"telephone_number": "410-557-7717",
"fax_number": "410-557-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 NORRISVILLE RD",
"city": "JARRETTSVILLE",
"state": "MD",
"postal_code": "210841419",
"telephone_number": "410-557-7717",
"fax_number": "410-557-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLTZ",
"first_name": "GINA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "12105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jarrettsville, MD
- McLaughlin Physical Therapy & Hand Rehabilitation
- McLaughlin Physical Therapy & Hand Rehabilitation
- Kevin M McLaughlin, P.T.
- Michael Doyle DDS, PC (Jarrettsville Dental Associates)
- Catherine Minimadey
- Monica Nirschl, M.D.
- North Harford Counseling, LLC
- North Harford Counseling, LLC
- North Harford Hope
- Carol Ogembo, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.