Douglas Wayne Moss

Primary specialty

PharmacistTaxonomy code 183500000X

License

183500000X Issued in WV

Practice address

356 WV Highway 5 E
Glenville, WV 26351-7602

Phone

(304) 462-8300

Fax

(304) 462-0324

NPI assigned

Oct 5, 2012

Last updated

Oct 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gil-Co Faith Pharmacy Inc.

  • Community/Retail Pharmacy
  • Glenville, WV
  • NPI 1063516029
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1467704080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 WV HIGHWAY 5 E",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263517602",
            "telephone_number": "304-462-8300",
            "fax_number": "304-462-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 WV HIGHWAY 5 E",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263517602",
            "telephone_number": "304-462-8300",
            "fax_number": "304-462-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "DOUGLAS",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "183500000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnie Hamilton Health Care Center, Inc. (Glenville Office - Medicare)
• Ashley Moore
• Skylar Moore
• Juliea Ellen Morgan, MS/CCC-SLP
• Melissa Morris
• Mountaineer Ride Care, Inc.
• Rhonda K. Murphree
• Angela Nicholas
• Megan Elizabeth Normant
• Nashlee Michelle Perry

• Pharmacist in Glenville, WV
• Providers in Glenville, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.