Individual provider Active NPI

Neefiyah Mousa, PHARMD

  • Pharmacist
  • Jennings, LA
National Provider Identifier
1952013815
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42283 Issued in TN
Practice address
1907 Johnson St
Jennings, LA 70546-3627
Phone
(337) 785-4700
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 42283 TN Primary

Addresses

Primary practice location

1907 Johnson St
Jennings, LA 70546-3627

Mailing address

1907 Johnson St
Jennings, LA 70546-3627
Phone (337) 785-4700

Other practice location 1

7021 Trestle Pl
Northport, AL 35473-0012
Phone (504) 444-8745

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neefiyah.mousa@va.gov Direct Veterans Affairs Medical Center

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

LicenseStateTypeSpecialty
42283TNMDPediatric Cardiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1952013815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 JOHNSON ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463627",
            "telephone_number": "337-785-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 JOHNSON ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463627",
            "telephone_number": "337-785-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7021 Trestle Pl",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354730012",
            "country_code": "US",
            "telephone_number": "504-444-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "NEEFIYAH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "42283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neefiyah.mousa@va.gov",
            "affiliation": "Y",
            "affiliationName": "Veterans Affairs Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1907 Johnson St",
            "city": "Jennings",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705463627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.