Individual provider Active NPI

Latrecia Session Moran, RPH

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1427668060
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38058 Issued in TX
Practice address
18302 Talavera RDG
San Antonio, TX 78257-2605
Phone
(877) 891-6750
Fax
(210) 395-5291
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38058 TX Primary

Addresses

Primary practice location

18302 Talavera RDG
San Antonio, TX 78257-2605

Mailing address

18302 Talavera RDG
San Antonio, TX 78257-2605
Phone (877) 891-6750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rs.nrpharmacy@medtronic.com Direct

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

LicenseStateTypeSpecialty
38058TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Minimed Distribution Corp. PastSince Aug 9, 2020 Accepting new patients
Minimed Distribution Corp. PastSince Aug 9, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1427668060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 TALAVERA RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572605",
            "telephone_number": "877-891-6750",
            "fax_number": "210-395-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 TALAVERA RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572605",
            "telephone_number": "877-891-6750",
            "fax_number": "210-395-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "LATRECIA",
        "middle_name": "SESSION",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rs.nrpharmacy@medtronic.com",
            "affiliation": "N",
            "endpointDescription": "rs.nrpharmacy@medtronic.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18302 Talavera Rdg",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782572605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.