Gaoly Amber Mouanoutoua, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

89407 Issued in CA

Practice address

3173 E Shields Ave
Fresno, CA 93726-6902

Phone

(559) 222-6287

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1134968142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266902",
            "telephone_number": "559-222-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUANOUTOUA",
        "first_name": "GAOLY",
        "middle_name": "AMBER",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "89407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Touger Moua
• Vang Vince Moua, PA-C
• Xong Moua
• Xong Moua
• Amy Mouanoutoua, PH.D.
• Isaiah Mouanoutoua, RPH
• Losthongsanh Mouanoutoua, OTR/L
• Megan Cuanaag Mouanoutoua
• Mouachu Mouanoutoua
• Mouatou Mouanoutoua, MD

• Pharmacist in Fresno, CA
• Providers in Fresno, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.