Active NPI
Pamela Annette Moss, RPH
- Pharmacist
- Dallas, TX
National Provider Identifier
1326388901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29574
- Practice address
- 3900 Briargrove LN Apt 3105
Dallas, TX 75287-8307 - Phone
- (501) 730-4939
- NPI assigned
- Feb 19, 2013
- Last updated
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16029 | GA | |
| Pharmacist | 183500000X | 7955 | AR | |
| Pharmacist | 183500000X | 29574 | TX | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 29574 | TX |
Addresses
Primary practice location
3900 Briargrove LN Apt 3105
Dallas, TX 75287-8307
Mailing address
3900 Briargrove Lane
Apt 3105
Dallas, TX 75287-7622
Phone (501) 730-4939
Other names 1
- Pamela Annette Haynes
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7955 | AR | MD | Pharmacist |
| 16029 | GA | MD | Pharmacist |
| 29574 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas CVS Pharmacy, LLC | Past | Accepting new patients | |
| Arkansas CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1326388901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 BRIARGROVE LANE",
"address_2": "APT 3105",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877622",
"telephone_number": "501-730-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 BRIARGROVE LN APT 3105",
"city": "DALLAS",
"state": "TX",
"postal_code": "752878307",
"telephone_number": "501-730-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "PAMELA",
"middle_name": "ANNETTE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-19",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "16029",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "7955",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29574",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "29574",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "HAYNES",
"middle_name": "ANNETTE",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.