Active NPI
Season Moore
- Pharmacy Technician
- Midvale, UT
National Provider Identifier
1083817274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5256927-1717
- Practice address
- 198 Plumtree LN Apt 28I
Midvale, UT 84047-1155 - Phone
- (801) 557-2921
- NPI assigned
- Jun 6, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5256927-1717 | UT | Primary |
Addresses
Primary practice location
198 Plumtree LN Apt 28I
Midvale, UT 84047-1155
Mailing address
198 Plumtree LN Apt 28I
Midvale, UT 84047-1155
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5256927-1717 | UT | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083817274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 PLUMTREE LN APT 28I",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 PLUMTREE LN APT 28I",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471155",
"telephone_number": "801-557-2921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SEASON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "UT",
"license": "5256927-1717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.