Individual provider Active NPI

Elizabeth Moe, PHD

  • Pharmacist
  • Marysville, WA
National Provider Identifier
1174882096
Registry record updated May 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60214122 Issued in WA
Practice address
9417 State Ave
Marysville, WA 98270-2205
Phone
(360) 653-4857
Fax
(360) 653-5211
NPI assigned
May 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60214122 WA Primary

Addresses

Primary practice location

9417 State Ave
Marysville, WA 98270-2205

Mailing address

228 W Jensen St
Arlington, WA 98223-8223

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 Philosophy

State licenses

LicenseStateTypeSpecialty
PH60214122WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Pharmacy Inc Past Accepting new patients
Arlington Pharmacy Inc Past Accepting new patients
Arlington Pharmacy Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336780800000",
    "number": "1174882096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W JENSEN ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702205",
            "telephone_number": "360-653-4857",
            "fax_number": "360-653-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "ELIZABETH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2012-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60214122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2012; 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.