Magness Moss Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAGNESS MOSS PHARMACY

Practice address

13290 US Highway 84 E
Joaquin, TX 75954

Phone

(936) 269-3922

Fax

(936) 269-9809

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Karen Bossier, PHARM.D.NPI 1588108369

Title

Owner

Phone

(972) 832-7668

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Blount Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Elizabeth Bossier, PHARM.D.

  • Pharmacist
  • Joaquin, TX
  • NPI 1588108369
  NPD Authorized official
• Cecelia Ann Magness

  • Pharmacist
  • Joaquin, TX
  • NPI 1770380206
  NPD

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1760926547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "JOAQUIN",
            "state": "TX",
            "postal_code": "759540947",
            "telephone_number": "936-269-3922",
            "fax_number": "936-269-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13290 US HIGHWAY 84 E",
            "city": "JOAQUIN",
            "state": "TX",
            "postal_code": "75954",
            "telephone_number": "936-269-3922",
            "fax_number": "936-269-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNESS MOSS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "BOSSIER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-832-7668",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205145",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149590",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gene Blount
• Skylar Marie Harvey
• Intentional Mental Health & Wellness PLLC
• Joaquin Independent School District
• Michelle Kruebbe, CCC/SLP
• Cecelia Ann Magness
• Peyton McSwain
• Amadna Parker, OTA
• Maddison Ramsey
• Chasity Ann Rodgers, LVN

• Community/Retail Pharmacy in Joaquin, TX
• Providers in Joaquin, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.