Individual provider Active NPI

Richard D Moss, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Deerfield Beach, FL
National Provider Identifier
1710518477
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PS21029 Issued in FL
Practice address
160 SW 12 Avenue, Suite 101 D
Deerfield Beach, FL 33442
Phone
(954) 725-0222
Fax
(954) 725-8811
NPI assigned
Jan 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X PS21029 FL
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS21029 FL Primary

Addresses

Primary practice location

160 SW 12 Avenue, Suite 101 D
Deerfield Beach, FL 33442

Mailing address

7001 NW 68 Manor
Parkland, FL 33067-1478
Phone (954) 592-1787

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

LicenseStateTypeSpecialty
PS21029FLMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacon, Inc. Current Accepting new patients
Pharmacon, Inc. Current Accepting new patients

Locations

160 SW 12th Ave
Ste 101D
Deerfield Beach, FL 33442
Phone (888) 327-2233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1710518477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 NW 68 MANOR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671478",
            "telephone_number": "954-592-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SW 12 AVENUE, SUITE 101 D",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33442",
            "telephone_number": "954-725-0222",
            "fax_number": "954-725-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "FL",
            "license": "PS21029",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS21029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.