Active NPI
Jeffrey Scott Mosteller
- Pharmacist
- Lincolnton, NC
National Provider Identifier
1538422126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11402
- Practice address
- 2622 E Main St
Lincolnton, NC 28092-4319 - Phone
- (704) 735-2551
- Fax
- (704) 735-6222
- NPI assigned
- Jun 19, 2012
- Last updated
- Jun 19, 2012
- 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 | 11402 | NC | Primary |
Addresses
Primary practice location
2622 E Main St
Lincolnton, NC 28092-4319
Mailing address
2622 E Main St
Lincolnton, NC 28092-4319
Phone (704) 735-2551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11402 | Other | NC | NC PHARMACY LICENSE NUMBER |
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 |
|---|---|---|---|
| 11402 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1538422126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 E MAIN ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280924319",
"telephone_number": "704-735-2551",
"fax_number": "704-735-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 E MAIN ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280924319",
"telephone_number": "704-735-2551",
"fax_number": "704-735-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSTELLER",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "11402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PHARMACY LICENSE NUMBER",
"identifier": "11402",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.