Active NPI
Aisha Morris Moultry, PHARMD
- Pharmacist
- Houston, TX
National Provider Identifier
1023737418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39579
- Practice address
- 3100 Cleburne St
College of Pharmacy and Health Sciences
Houston, TX 77004 - Phone
- (713) 313-7553
- NPI assigned
- Aug 26, 2022
- 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 | 39579 | TX | Primary |
Addresses
Primary practice location
3100 Cleburne St
College of Pharmacy and Health Sciences
Houston, TX 77004
Mailing address
3100 Cleburne St
College of Pharmacy and Health Sciences
Houston, TX 77004
Phone (713) 313-7553
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39579 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1023737418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 CLEBURNE ST",
"address_2": "COLLEGE OF PHARMACY AND HEALTH SCIENCES",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77004",
"telephone_number": "713-313-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CLEBURNE ST",
"address_2": "COLLEGE OF PHARMACY AND HEALTH SCIENCES",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77004",
"telephone_number": "713-313-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTRY",
"first_name": "AISHA",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Stacy L Moulder, M.D.
- Whitney Moulder, PHARMD
- Kimin Kim Moulton, PH.D,L.AC.
- Sharon Denise Moulton, CRNP-FAMILY
- Stacey Moultrie
- Semaj M Mounger, BCBA
- Mount Carmel Medical Clinic PLLC
- Mount Olive Hospice and Palliative Care LLC
- Mount Pediatric and Family Clinic LLC
- Priscila Emi Nakano Mount, MSN, APRN, CPNP-AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.