Lila R Moschetti, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH-0009252 Issued in OR

Practice address

21195 Highway 62
Shady Cove, OR 97539-9715

Phone

(541) 878-3151

Fax

(541) 878-8228

NPI assigned

Feb 26, 2007

Last updated

Nov 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Drug Store Inc

  dba Black Oak Pharmacy

  • Community/Retail Pharmacy
  • Medford, OR
  • NPI 1780738138
  NPD (past)
• Central Drug Store Inc

  dba Shady Cove Pharmacy

  • Community/Retail Pharmacy
  • Shady Cove, OR
  • NPI 1790830446
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478304000000",
    "number": "1285760108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975390700",
            "telephone_number": "541-878-3151",
            "fax_number": "541-878-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21195 HIGHWAY 62",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975399715",
            "telephone_number": "541-878-3151",
            "fax_number": "541-878-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCHETTI",
        "first_name": "LILA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "9252",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0009252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Clayton FNP Inc (Health Care By House Call)
• Dan Dale Kelly
• Phillip Bruce Lassen, D.M.D.
• Laura L. Johnson, N.P., P.C. (Crater Lake Medical South)
• Mending Waters Counseling LLC
• Luke B Murphy, DMD
• Optimal Behavioral Health
• Ryan Stuart Price, MA, LPC
• Kelsey Reed, RDH
• Rogue Community Health

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.