Organization Active NPI

Robert T. Moss, Jr Dba Moss Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
National Provider Identifier
1164514196
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50001280 Issued in SC
Legal business name
ROBERT T. MOSS, JR DBA MOSS PHARMACY
Doing business as
Moss Pharmacy
Practice address
804 2ND Loop Rd Ste E
Florence, SC 29505-2827
Phone
(843) 665-0289
Fax
(843) 667-9964
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Robert T Moss Jr., PHARMACISTNPI 1538251558
Title
Owner/Pharmacist
Phone
(843) 665-0289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50001280 SC Primary

Addresses

Primary practice location

804 2ND Loop Rd Ste E
Florence, SC 29505-2827

Mailing address

804 2ND Loop Rd Ste E
Florence, SC 29505-2827
Phone (843) 665-0289

Other names 1

  • Moss Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

804 2nd Loop Rd
Ste E
Florence, SC 29505
Phone (843) 665-0289

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1164514196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 2ND LOOP RD STE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052827",
            "telephone_number": "843-665-0289",
            "fax_number": "843-667-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 2ND LOOP RD STE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052827",
            "telephone_number": "843-665-0289",
            "fax_number": "843-667-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T. MOSS, JR DBA MOSS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "843-665-0289",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50001280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moss Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.