Active NPI
Maria Preciosa Moss, PHARMD
- Ambulatory Care Pharmacist
- Vancouver, WA
National Provider Identifier
1285178574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PH 00016404
- Practice address
- 7101 NE 137TH Ave
Vancouver, WA 98682-4933 - Phone
- (360) 334-2636
- NPI assigned
- Dec 6, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | RPH-0008233 | OR | |
| Ambulatory Care Pharmacist | 1835P2201X | PH 00016404 | WA | Primary |
Addresses
Primary practice location
7101 NE 137TH Ave
Vancouver, WA 98682-4933
Mailing address
2805 NW Alpine LN
Camas, WA 98607-9301
Phone (360) 334-2636
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 |
|---|---|---|---|
| RPH-0008233 | OR | MD | Ambulatory Care Pharmacist |
| PH 00016404 | WA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1285178574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 NW ALPINE LN",
"city": "CAMAS",
"state": "WA",
"postal_code": "986079301",
"telephone_number": "360-334-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 NE 137TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986824933",
"telephone_number": "360-334-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "MARIA PRECIOSA",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OR",
"license": "RPH-0008233",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "WA",
"license": "PH 00016404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.