Active NPI
Andrew Moss
- Pharmacist
- Chicopee, MA
National Provider Identifier
1457793952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH234648
- Practice address
- 577 Meadow St.
Chicopee, MA 01013-3120 - Phone
- (413) 592-4696
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH234648 | MA | Primary |
Addresses
Primary practice location
577 Meadow St.
Chicopee, MA 01013-3120
Mailing address
577 Meadow St
Chicopee, MA 01013-1876
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH234648 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1457793952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 MEADOW ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010131876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 MEADOW ST.",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010133120",
"telephone_number": "413-592-4696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.