Active NPI
Rexston Chamreun Moul, PHARMD
- Pharmacist
- Dallas, TX
National Provider Identifier
1942813472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64093
- Practice address
- 3826 Cedar Springs Rd
Dallas, TX 75219-4136 - Phone
- (214) 522-4006
- NPI assigned
- Aug 25, 2020
- Last updated
- Dec 22, 2022
- Sex
- Male
- 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 | 64093 | TX | Primary |
Addresses
Primary practice location
3826 Cedar Springs Rd
Dallas, TX 75219-4136
Mailing address
1600 Coit Rd Ste 108
Plano, TX 75075-6171
Phone (469) 974-3661
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 |
|---|---|---|---|
| 64093 | TX | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1942813472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 COIT RD STE 108",
"city": "PLANO",
"state": "TX",
"postal_code": "750756171",
"telephone_number": "469-974-3661",
"fax_number": "469-974-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3826 CEDAR SPRINGS RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194136",
"telephone_number": "214-522-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUL",
"first_name": "REXSTON",
"middle_name": "CHAMREUN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-25",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "64093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.