Charles S. Moss, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

11120 Issued in TN

Practice address

409 Mulberry Ave
Selmer, TN 38375-2307

Phone

(731) 645-4423

NPI assigned

Sep 30, 2008

Last updated

Sep 30, 2008By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1629228358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COUNTY ROAD 676",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347419",
            "telephone_number": "662-223-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MULBERRY AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752307",
            "telephone_number": "731-645-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "CHARLES",
        "middle_name": "S.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "11120",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T08597",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Mitchell, PHARMD
• Daniel Wayne Moore, COTA
• Sherry M Moore, CFNP
• Carlee Elizabeth Morris
• Jennifer Bias Morris, PHARM.D.
• Mulberry Dental, PLLC
• Jacob Connard Mullins, MD
• Nicholas Matters Inc.
• Melissa B Page, MSN, FNP
• Jill Mask Parker, MACCC-SLP

• Pharmacist in Selmer, TN
• Providers in Selmer, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.