Virginia Ann Moore Draeger, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 31459 Issued in CA

Practice address

662 Gayley Ave
Los Angeles, CA 90095-7423

Phone

(310) 267-8500

Fax

(310) 267-3644

NPI assigned

May 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Virginia Ann Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431820800000",
    "number": "1154709681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "RRUCMC ROOM # B531",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957423",
            "telephone_number": "310-206-4400",
            "fax_number": "310-825-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 GAYLEY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957423",
            "telephone_number": "310-267-8500",
            "fax_number": "310-267-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAEGER",
        "first_name": "VIRGINIA",
        "middle_name": "ANN MOORE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 31459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "MOORE",
            "middle_name": "ANN",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; 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.