Active NPI
John Phillip Moss, DPH
- Pharmacist
- Midwest City, OK
National Provider Identifier
1902974132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8916
- Practice address
- 249 N Douglas Blvd
Midwest City, OK 73130-3309 - Phone
- (405) 741-4411
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 8916 | OK | Primary |
Addresses
Primary practice location
249 N Douglas Blvd
Midwest City, OK 73130-3309
Mailing address
11120 SE 49TH St
Oklahoma City, OK 73150-3901
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 |
|---|---|---|---|
| 8916 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin R No 2 Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902974132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 SE 49TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731503901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 N DOUGLAS BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731303309",
"telephone_number": "405-741-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "JOHN",
"middle_name": "PHILLIP",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.