Kelsey Moses, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S020720 Issued in AZ

Practice address

10727 W Olive Ave
Peoria, AZ 85345-9202

Phone

(623) 815-8074

Fax

(623) 876-4124

NPI assigned

Sep 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona CVS Stores LLC

  dba CVS Pharmacy #03745

  • Pharmacy
  • Peoria, AZ
  • NPI 1750485645
  NPD (past)

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1679973242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10727 W OLIVE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853459202",
            "telephone_number": "623-815-8074",
            "fax_number": "623-876-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 W OLIVE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853459202",
            "telephone_number": "623-815-8074",
            "fax_number": "623-876-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S020720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183500000X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C Aimee Morrison-Stensrud, LPC
• Kristen Nicole Morrison, IBCLC
• Gary L Mort, DO
• Gabrielle Mortellaro
• Jennifer Moser, PMHNP-BC
• Christine Anne Mosienko, CRNA
• Keith David Mosienko, M.D.
• Celeste Mosley
• Kalyssa Most
• Allyson Eleanor Mote

• Pharmacist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.