Individual provider Active NPI

Gina Victor Farid Moftah

  • Pharmacist
  • Tucson, AZ
National Provider Identifier
1265396477
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH87652 Issued in CA
Practice address
5733 N Camino de Las Estrellas
Tucson, AZ 85718-4424
Phone
(480) 431-5170
NPI assigned
Dec 11, 2025
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S025008 AZ
Pharmacist 183500000X 68436 TX
Pharmacist 183500000X RPH87652 CA Primary

Addresses

Primary practice location

5733 N Camino de Las Estrellas
Tucson, AZ 85718-4424

Mailing address

5733 N Camino de Las Estrellas
Tucson, AZ 85718-4424

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

State licenses

LicenseStateTypeSpecialty
68436TXMDProfessional Counselor
S025008AZMDPharmacist
RPH87652CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1265396477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5733 N CAMINO DE LAS ESTRELLAS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5733 N CAMINO DE LAS ESTRELLAS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184424",
            "telephone_number": "480-431-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFTAH",
        "first_name": "GINA",
        "middle_name": "VICTOR FARID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025008",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68436",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH87652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.