CHARLOTTE K MOSS (NPI# 1073023099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073023099 |
| Entity Type | Individual |
| Full Name | CHARLOTTE K MOSS |
| Credential | RPH |
| Practice Address |
4375 Red Rock Rd Benton PA 17814-7948 |
| Mailing Address |
80 Holmes Rd Stillwater PA 17878-9219 |
| Practice Telephone | 5709252500 |
| Mailing Telephone | 5704419603 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP439100 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871078543 | Charlotte Ann Moss | Counselor | 11814 Us 64 A, Spring Hope, NC 27882 | 2018-09-28 |
| 1861007262 | Charlotte Annette Moss | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2020-09-11 |
| 1033620323 | Charlotte Delane Moss | Family Medicine | 1441 S Midlothian Pkwy, Midlothian, TX 76065-5591 | 2017-10-13 |
| 1700338704 | Charlotte Baker Moss | Physician Assistant | 501 Marshall St Ste G07, Jackson, MS 39202-1651 | 2016-10-26 |
| Street Address |
4375 RED ROCK RD |
| City | BENTON |
| State | PA |
| Zip Code | 17814-7948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720592215 | Vine Pharmacy | Pharmacy | 4375 Red Rock Rd, Benton, PA 17814-7948 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437319175 | Benton Volunteer Fire Company Ambulance Assoc | Ambulance | 150 Colley St, Benton, PA 17814 | 2008-06-16 |
| 1497886063 | Benton Volunteer Fire Company | Ambulance | 150 Colley St., Benton, PA 17814 | 2007-03-08 |
| 1396815312 | Thomas Anthony Kowalski | Dentist | 2 & Half & Market Streets, Benton, PA 17814 | 2006-11-08 |
| 1982717328 | Kenneth Detlaf Cross | Dentist | 510 Main St, Benton, PA 17814 | 2006-08-17 |
| 1609868512 | Dale Neiderhiser | Chiropractor | 224 Main St, Benton, PA 17814-0124 | 2005-08-17 |
| 1124040795 | Colpharm Inc | Pharmacy | 283-285 Main St, Benton, PA 17814-0251 | 2006-07-24 |
| 1174738587 | John Joseph Hutnick | Optometrist | 110 Main Street, Benton, PA 17814-0275 | 2007-05-11 |
| 1497874259 | Sugarloaf Community Rescue & Ambulance Association | Ambulance | 987 Elk Grove Rd, Benton, PA 17814-7404 | 2007-03-29 |
| 1609055896 | Sugarloaf Community Rescue & | Ambulance | 987 Elk Grove Rd, Benton, PA 17814-7404 | 2007-10-24 |
| 1225094733 | Benton Area School District | Local Education Agency (LEA) | 600 Green Acres Rd, Benton, PA 17814-7603 | 2006-04-24 |
| Find all providers in zip 17814 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1386244838 | Dana L Henson | Pharmacist | 3958 Hampton Dr, Benton, AR 72019-7609 | 2020-10-26 |
| 1154942845 | Blake Torres | Pharmacist | 501 W Sevier St, Benton, AR 72015-4215 | 2020-05-04 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1295296614 | Harrison Family Pharmacy, P.l.l.c. | Pharmacist | 2323 N Highway 229 Ste A, Benton, AR 72015-7202 | 2019-03-28 |
| 1881170751 | Tim Grifford | Pharmacist | 1220 Curtis Ln, Benton, AR 72019-8358 | 2018-07-13 |
| 1194219410 | Tim James Finley | Pharmacist | 1016 W South St Ste 1, Benton, AR 72015-4074 | 2018-06-20 |
| 1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
| 1578869228 | James Richard Mccollum | Pharmacist | 1102 N Maple St, Benton, IL 62812-1034 | 2011-01-27 |
| 1184850570 | Barry Jason Derden | Pharmacist | 615 Miller Cv, Benton, AR 72019-2399 | 2009-05-31 |
| Find all providers in BENTON | ||||
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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.