Active NPI
Joshua Moises
- Pharmacist
- North Hollywood, CA
National Provider Identifier
1538703236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80763
- Practice address
- 11051 Victory Blvd
North Hollywood, CA 91606-3719 - Phone
- (818) 487-9351
- Fax
- (818) 738-1102
- NPI assigned
- Nov 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 80763 | CA | Primary |
Addresses
Primary practice location
11051 Victory Blvd
North Hollywood, CA 91606-3719
Mailing address
5060 Coldwater Canyon Ave Apt 17
Sherman Oaks, CA 91423-1652
Phone (831) 402-9839
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 |
|---|---|---|---|
| 80763 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1538703236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 COLDWATER CANYON AVE APT 17",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914231652",
"telephone_number": "831-402-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11051 VICTORY BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063719",
"telephone_number": "818-487-9351",
"fax_number": "818-738-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOISES",
"first_name": "JOSHUA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.