Dennis Trent Moser

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3-3215 Issued in OK

Legal business name

DENNIS TRENT MOSER

Doing business as

Trents Discount Pharmacy

Practice address

428 E Cole
Fletcher, OK 73541

Phone

(580) 549-6115

Fax

(580) 549-6558

NPI assigned

Jan 3, 2007

Last updated

Feb 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

D Trent Moser

Title

Owner Pharmacist

Phone

(580) 549-6115

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TRENTS DISCOUNT PHARMACY Doing business as

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1588721963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "FLETCHER",
            "state": "OK",
            "postal_code": "735410600",
            "telephone_number": "580-549-6115",
            "fax_number": "580-549-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E COLE",
            "city": "FLETCHER",
            "state": "OK",
            "postal_code": "73541",
            "telephone_number": "580-549-6115",
            "fax_number": "580-549-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS TRENT MOSER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "D TRENT",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "580-549-6115"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "3-3215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235920A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3712343",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRENTS DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fletcher, OK
• Providers in Fletcher, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.