Active NPI
Kimberly Moses, PHARMD
- Pharmacist
- Wetumpka, AL
National Provider Identifier
1174806426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16704
- Practice address
- 795 Wilson St
Wetumpka, AL 36092-2901 - Phone
- (334) 514-7135
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16704 | AL | Primary |
Addresses
Primary practice location
795 Wilson St
Wetumpka, AL 36092-2901
Mailing address
795 Wilson St
Wetumpka, AL 36092-2901
Phone (334) 514-7135
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16704 | AL | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wetumpka Pharmacy | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1174806426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 WILSON ST",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360922901",
"telephone_number": "334-514-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 WILSON ST",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360922901",
"telephone_number": "334-514-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wetumpka, AL
- Memaw & Paw Paw Homecare LLC
- Clarence Dequan Merckerson, L.P.C.
- Tabitha Millwood, LPC
- Frank T Mitchell
- Montgomery Drug Company Inc (Adams Drugs - Wetumpka)
- Mracek Family & Internal Clinic LLC (Mfic)
- Mracek Family & Internal Medicine Clinic PC
- James F Mracek, MD
- Jennifer Nagel Muffley, RPH
- Melissa Briana Myer, D.P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.