Amirah Alyssa Mootoo

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202219320 Issued in VA

Practice address

10720 Ridgefield Pkwy
Henrico, VA 23233-3502

Phone

(804) 364-3593

NPI assigned

Dec 26, 2020

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

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Richmond, VA
  • NPI 1326235847
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1235726142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9326 HORIZON RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603529",
            "telephone_number": "804-822-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 RIDGEFIELD PKWY",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232333502",
            "telephone_number": "804-364-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTOO",
        "first_name": "AMIRAH",
        "middle_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202219320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Montanez
• Jennifer Montano
• Debra Farney Moody, RPH
• Tomeika Moody
• David Moon, PA-C
• More 2 Lyfe, Inc
• Hannah Morgan
• Michelle Mori
• Ivoress Morris
• Madelyn Gay Morris, DDS

• Pharmacist in Henrico, VA
• Providers in Henrico, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.