Stephen Gary Moss, PHARM.D.

Pharmacist · Rexburg, ID

Individual Active NPI

NPI number 1457636482

Practice location

124 W Main St
Rexburg, ID 83440-1827
Phone
(208) 356-5416
Fax
(208) 356-5653

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NPI record

NPI
1457636482
Entity type
Individual (Type 1)
Enumeration date
October 21, 2011
Last updated
October 21, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X P5595 ID

About Dr. Moss

Stephen Gary Moss, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 124 W Main St, Rexburg, ID 83440-1827. The NPI number 1457636482 was assigned on October 21, 2011 and the record was last updated on October 21, 2011.

Dr. Moss lists a license in the registry: #P5595 (ID) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Gary Moss, PHARM.D.?

The NPI number is 1457636482.

What is the phone number of Dr. Moss?

The phone number listed for the practice location is (208) 356-5416.

Where is Dr. Moss located?

124 W Main St, Rexburg, ID 83440-1827.

What is the taxonomy code for Dr. Moss?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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