Individual provider Active NPI

Terri Lynn Moye, CPHT

  • Pharmacy Technician
  • Beaumont, TX
National Provider Identifier
1417504333
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
114555 Issued in TX
Practice address
3955 Phelan Blvd
Beaumont, TX 77707-2223
Phone
(409) 833-1298
Fax
(409) 838-4342
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 114555 TX Primary

Addresses

Primary practice location

3955 Phelan Blvd
Beaumont, TX 77707-2223

Mailing address

3955 Phelan Blvd
Beaumont, TX 77707-2223
Phone (409) 833-1298

Other identifiers 1

IdentifierTypeStateIssuer
114555OtherTXSTATE BOARD REGISTRATION

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
114555TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Retail Investors of Texas, LTD. PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1417504333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072223",
            "telephone_number": "409-833-1298",
            "fax_number": "409-838-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072223",
            "telephone_number": "409-833-1298",
            "fax_number": "409-838-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYE",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "114555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD REGISTRATION",
            "identifier": "114555",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.