Active NPI
Michelle K Moser, RPH
- Pharmacist
- Burlington, WA
National Provider Identifier
1669588521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00014323
- Practice address
- 839 S Burlington Blvd
Burlington, WA 98233-3307 - Phone
- (360) 757-6677
- Fax
- (360) 757-6888
- NPI assigned
- Aug 22, 2006
- Last updated
- Apr 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00014323 | WA | Primary |
| Nutrition Support Pharmacist | 1835N1003X | PH00014323 | WA | |
| Pharmacotherapy Pharmacist | 1835P1200X | PH00014323 | WA |
Addresses
Primary practice location
839 S Burlington Blvd
Burlington, WA 98233-3307
Mailing address
839 S Burlington Blvd
Burlington, WA 98233-3307
Phone (360) 757-6677
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00014323 | WA | MD | Nutrition Support Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makers Compounding Pharmacy | Past | Accepting new patients | |
| Makers Pharmacy | Past | Accepting new patients |
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.
-
- Compounding Pharmacy
- Burlington, WA
- NPI 1104366392
-
dba Makers Compounding Pharmacy
- Health Service Clinic/Center
- Burlington, WA
- NPI 1841581964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304035200000",
"number": "1669588521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 S BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982333307",
"telephone_number": "360-757-6677",
"fax_number": "360-757-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 S BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982333307",
"telephone_number": "360-757-6677",
"fax_number": "360-757-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "MICHELLE",
"middle_name": "K",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2011-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00014323",
"primary": true
},
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "WA",
"license": "PH00014323",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH00014323",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WA
- Charly A Moore, SUDPT
- Sharlene Ihilani Moore, RD, CD
- Roseanne Moran
- Amber Dawn Morris
- Brita Morris
- Mountain Smiles - Burlington Family Dental Care, PLLC (Burlington Family Dental Care)
- Cierra Roselynn Mulvihill
- Richard Wilson Nash, DDS
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Rebecca L Neff, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.