Active NPI
Deborah Moos, BS, RPH, MBA
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Midwest City, OK
National Provider Identifier
1073848693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 114197
- Practice address
- 1390 S Douglas Blvd
Ste 102
Midwest City, OK 73130-5270 - Phone
- (405) 455-5312
- Fax
- (405) 455-5279
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 114197 | MN | Primary |
| Rehabilitation Counselor | 225C00000X |
Addresses
Primary practice location
1390 S Douglas Blvd
Ste 102
Midwest City, OK 73130-5270
Mailing address
8301 N Council Rd Apt 1103
Oklahoma City, OK 73132-4186
Phone (405) 728-1138
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
- Bachelor of Science, Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114197 | MN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above All Behavioral Health Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Midwest City, OK
- NPI 1578821062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1073848693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 N COUNCIL RD APT 1103",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731324186",
"telephone_number": "405-728-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 S DOUGLAS BLVD",
"address_2": "STE 102",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731305270",
"telephone_number": "405-455-5312",
"fax_number": "405-455-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOS",
"first_name": "DEBORAH",
"credential": "BS, RPH, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MN",
"license": "114197",
"primary": true
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.