Active NPI
Abigail Josette Roelle, PHARMD
- Pharmacist
- Gilbert, AZ
National Provider Identifier
1639510076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03232989-2
- Practice address
- 805 S Val Vista Dr
Gilbert, AZ 85296 - Phone
- (480) 892-6039
- Fax
- (480) 892-1973
- NPI assigned
- Jul 15, 2013
- Last updated
- Sep 17, 2020
- Sex
- Female
- 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 | 03232989-2 | OH | Primary |
Addresses
Primary practice location
805 S Val Vista Dr
Gilbert, AZ 85296
Mailing address
7020 E Regina St
Mesa, AZ 85207
Phone (330) 671-0411
Other names 1
- Abigail Josette Moyseenko
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03232989-2 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- aroelle701844@direct.ochin.org
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1639510076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7020 E REGINA ST",
"city": "MESA",
"state": "AZ",
"postal_code": "85207",
"telephone_number": "330-671-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S VAL VISTA DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85296",
"telephone_number": "480-892-6039",
"fax_number": "480-892-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROELLE",
"first_name": "ABIGAIL",
"middle_name": "JOSETTE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03232989-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "MOYSEENKO",
"middle_name": "JOSETTE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.