Active NPI
Jan M Moss-Michaels, RPH
- Pharmacist
- Springfield, OR
National Provider Identifier
1396994893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8500
- Practice address
- 2000 Marcola Rd
Springfield, OR 97477-2562 - Phone
- (541) 746-9424
- Fax
- (541) 744-8110
- NPI assigned
- Sep 9, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 8500 | OR | |
| Pharmacist | 183500000X | 8500 | OR | Primary |
Addresses
Primary practice location
2000 Marcola Rd
Springfield, OR 97477-2562
Mailing address
2000 Marcola Rd
Springfield, OR 97477-2562
Phone (541) 746-9424
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 |
|---|---|---|---|
| 8500 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1396994893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MARCOLA RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974772562",
"telephone_number": "541-746-9424",
"fax_number": "541-744-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MARCOLA RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974772562",
"telephone_number": "541-746-9424",
"fax_number": "541-744-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS-MICHAELS",
"first_name": "JAN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "8500",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "8500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.