Individual provider Active NPI

Bernice Moye

  • Pharmacist
  • Sacramento, CA
National Provider Identifier
1114339157
Registry record updated May 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH35378 Issued in CA
Practice address
5 E Harbor CT
Sacramento, CA 95831-5612
Phone
(916) 393-9587
NPI assigned
May 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH35378 CA Primary

Addresses

Primary practice location

5 E Harbor CT
Sacramento, CA 95831-5612

Mailing address

5 E Harbor CT
Sacramento, CA 95831-5612
Phone (916) 393-9587

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

LicenseStateTypeSpecialty
RPH35378CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401062400000",
    "number": "1114339157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E HARBOR CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315612",
            "telephone_number": "916-393-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E HARBOR CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315612",
            "telephone_number": "916-393-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYE",
        "first_name": "BERNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-26",
        "last_updated": "2014-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH35378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.