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1184278103 NPI number — AMY GRACE MOSER PHARMD

NPI Number: 1184278103
Health Care Provider/Practitioner: AMY GRACE MOSER PHARMD

Information about “1184278103” NPI (AMY GRACE MOSER PHARMD) exists in 1184278103 in HTML format HTML  |  1184278103 in plain Text format TXT  |  1184278103 in PDF (Portable Document Format) PDF  |  1184278103 in an XML format XML  formats.

NPI Number : 1184278103 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184278103",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOSER",
    "FirstName": "AMY",
    "MiddleName": "GRACE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FILLIUS",
    "OtherFirstName": "AMY",
    "OtherMiddleName": "GRACE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "722 W INDEPENDENCE BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNT AIRY",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27030-3574",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-789-9006",
    "MailingAddressFaxNumber": "336-789-0537",
    "FirstLinePracticeLocationAddress": "722 W INDEPENDENCE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNT AIRY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27030-3574",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-789-9006",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/29/2019",
    "LastUpdateDate": "12/19/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "28999",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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