YVONNE ELIAS-MOUSSA (NPI# 1013552629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013552629 |
| Entity Type | Individual |
| Full Name | YVONNE ELIAS-MOUSSA |
| Credential | PHARMACIST |
| Practice Address |
1100 N Saint Francis Ave Ste 130 Wichita KS 67214-2865 |
| Practice Telephone | 3162643505 |
| Practice Fax Number | 3162640978 |
| Mailing Telephone | 3162643505 |
| Mailing Fax Number | 3162640978 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1-12697 | KS | Pharmacy Service Providers |
| Street Address |
1100 N SAINT FRANCIS AVE STE 130 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942498514 | Gerri A Ready | Nurse Practitioner | 1100 N Saint Francis Ave Ste 130, Wichita, KS 67214-2865 | 2007-10-09 |
| 1982221073 | Mary S Garcia | Nurse Practitioner | 1100 N Saint Francis Ave Ste 130, Wichita, KS 67214-2865 | 2020-07-06 |
| 1316572076 | Audra M Birzer | Registered Nurse | 1100 N Saint Francis Ave Ste 130, Wichita, KS 67214-2865 | 2020-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194097766 | Todd Schroeder | Pharmacist | 929 N Saint Francis Street, Via Christi, Wichita, KS 67214 | 2012-01-30 |
| 1205435070 | David Duong | Pharmacist | 9450 E Harry St, Wichita, KS 67207-5074 | 2020-10-22 |
| 1538768452 | Tin T Le | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2020-10-21 |
| 1750989448 | Anh T Le | Pharmacist | 7707 E Central Ave, Wichita, KS 67206-2190 | 2020-10-14 |
| 1285232934 | Huong Xuan Dong | Pharmacist | 3707 N Woodlawn Blvd, Wichita, KS 67220-2222 | 2020-10-14 |
| 1922606839 | Sue Lynn Robinson | Pharmacist | 3707 N Woodlawn Blvd, Wichita, KS 67220-2222 | 2020-10-13 |
| 1659981660 | Madeline Mahan Shipley | Pharmacist | 5500 E Harry St, Wichita, KS 67218-3826 | 2020-08-04 |
| 1164076246 | Linh Le | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-07-28 |
| 1811485329 | Victoria Snyder | Pharmacist | 313 S Market St, Wichita, KS 67202-3805 | 2018-04-30 |
| 1790202299 | Yun Man | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2017-08-25 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.