Active NPI
Sylvia Ann Moore, PHARM.D
- Pharmacist
- Brea, CA
National Provider Identifier
1912378654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 22225
- Practice address
- 2903 Saturn St
Suite a
Brea, CA 92821-6259 - Phone
- (714) 579-1636
- Fax
- (714) 579-1682
- NPI assigned
- Oct 7, 2015
- 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 | RPH 22225 | CA | Primary |
Addresses
Primary practice location
2903 Saturn St
Suite a
Brea, CA 92821-6259
Mailing address
30802 Coast Hwy
SPC D8
Laguna Beach, CA 92651-4207
Phone (949) 235-0343
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 22225 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Compounding Pharmacy | Pharmacist | 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 and National Provider Directory roles.
-
- Pharmacist
- Brea, CA
- NPI 1093183303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1912378654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30802 COAST HWY",
"address_2": "SPC D8",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926514207",
"telephone_number": "949-235-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 SATURN ST",
"address_2": "SUITE A",
"city": "BREA",
"state": "CA",
"postal_code": "928216259",
"telephone_number": "714-579-1636",
"fax_number": "714-579-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SYLVIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 22225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.