Individual provider Active NPI

Janet Chelagat Moti, PHARMACIST

  • Pharmacist
  • Jacksonville, AR
National Provider Identifier
1831803162
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD15880 Issued in AR
Practice address
2000 John Harden Dr
Jacksonville, AR 72076-2730
Phone
(501) 982-3357
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD15880 AR Primary

Addresses

Primary practice location

2000 John Harden Dr
Jacksonville, AR 72076-2730

Mailing address

122 Breckenridge LN
Maumelle, AR 72113-5936
Phone (972) 375-2611

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WALMART

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

LicenseStateTypeSpecialty
PD15880ARMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1831803162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BRECKENRIDGE LN",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721135936",
            "telephone_number": "972-375-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 JOHN HARDEN DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720762730",
            "telephone_number": "501-982-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTI",
        "first_name": "JANET",
        "middle_name": "CHELAGAT",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WALMART",
            "affiliation": "N",
            "address_1": "2000 John Harden Dr",
            "city": "Jacksonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720762730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.