H.E. Moser Corporation
Organization Active NPI Durable Medical Equipment & Medical Supplies · Salem, MO
NPI 1053396952 · NPPES record last updated Jul 26, 2011
Key facts
- NPI
- 1053396952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 6290 (MO)
- Legal business name
- H.E. MOSER CORPORATION
- Practice address
- 900 S Main
Salem, MO 65560 - Phone
- (573) 729-3300
- Fax
- (573) 729-9567
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
Authorized official
- Name
- Julia D Moser, RPH
- Title
- Secretary Owner
- Phone
- (573) 729-3300
Practitioners 2
-
Jonie Dena Bryant, RPH
-
Andrea Elizabeth Jadwin, PHARM D
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Moser Pharmacy |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930027903 | MO | DME Supplier - Pharmacy |
6709907504 | Practice locations: Salem, MO |
| O20151009001888 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 6709907504 | Practice locations: Salem, MO |
National Provider Directory
Locations
900 S Main St
Salem, MO 65560
Phone (572) 729-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6290 | MO | Yes |
| Pharmacy | 333600000X | 6290 | MO |
Addresses
Primary practice location
900 S Main
Salem, MO 65560
Mailing address
900 S Main
Salem, MO 65560
Phone (573) 729-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 628852709 | Medicaid | MO | |
| 608852703 | Medicaid | MO |
Other names
- Moser Pharmacy
Other providers in Salem, MO
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- James A Gray
- Green Forest R-II
- James A Gunn
- Stacey Hall
- Nicole L Hancock
- Casey Hardy
- Healing Hands Chiropractic & Acupuncture Clinic LLC
- Kirsten Hedrick
All providers in Salem, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.