Active NPI
Madonna Mousa
- Pharmacist
- Carrollton, TX
National Provider Identifier
1730784596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65186
- Practice address
- 2142 N Josey LN
Carrollton, TX 75006-2904 - Phone
- (972) 446-1915
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65186 | TX | Primary |
Addresses
Primary practice location
2142 N Josey LN
Carrollton, TX 75006-2904
Mailing address
2142 N Josey LN
Carrollton, TX 75006-2904
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65186 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1730784596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750062904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750062904",
"telephone_number": "972-446-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSA",
"first_name": "MADONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
- Nicole Mosca, MS, SLP-CCC
- Mahnaz Mostofi, WHCNP
- Motherlycare Homehealth Inc
- Motoko Saito Nishigaya, LPC
- Mount Carmel LLC (Carmel Care)
- Move Well Chiropractic
- Mt. Carmel Services, Inc. (Mt. Carmel Care)
- Mt. Carmel Ventures Inc. (Mt. Carmel Care)
- Mt. Shenir, LLC (LifeSteps Rehabilitation of Carrolton)
- Muhammad Ali Mirza, MD, P.a. (Carrollton Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.