DR. MICHELLE D MOSS (NPI# 1033495593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033495593 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE D MOSS |
| Other Name | DR. MICHELLE D BENNETT |
| Credential | PHARMD |
| Practice Address |
24800 S 4420 Rd Vinita OK 74301-5544 |
| Mailing Address |
Po Box 69 Vinita OK 74301-0069 |
| Practice Telephone | 9187135541 |
| Mailing Telephone | 9187135541 |
| Mailing Fax Number | 9182566490 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12852 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306303086 | Michelle C Moss | Speech-Language Pathologist | 3913 Highway 14, New Iberia, LA 70560-9435 | 2019-02-28 |
| 1609349539 | Michelle Moss | Speech-Language Pathologist | 3430 Burnet Ave # 4011, Cincinnati, OH 45229-2833 | 2019-01-03 |
| 1144700162 | Michelle Moss | Speech-Language Pathologist | 287 E South Blvd, Petersburg, VA 23805-2700 | 2018-08-20 |
| 1467719427 | Michelle Moss | Home Health Aide | 1707 L St Nw, Suite 900, Washington, DC 20036-4201 | 2012-04-16 |
| Street Address |
24800 S 4420 RD |
| City | VINITA |
| State | OK |
| Zip Code | 74301-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407917792 | Kendall Wayne Southern | Pharmacist | 24800 S 4420 Rd, Vinita, OK 74301 | 2006-12-12 |
| 1356479943 | Kevan Brian Finley | Counselor | 24800 S 4420 Rd, Vinita, OK 74301-5544 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| 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 |
|---|---|---|---|---|
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| 1659621225 | Brittany Renee English | Pharmacist | 725 South Wilson, Vinita, OK 74301 | 2012-09-11 |
| 1407917792 | Kendall Wayne Southern | Pharmacist | 24800 S 4420 Rd, Vinita, OK 74301 | 2006-12-12 |
| 1841286499 | Michael Shawn Sanders | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2005-09-20 |
| 1548253271 | Ben Allison | Pharmacist | 116 S Wilson St, Vinita, OK 74301-3730 | 2005-08-29 |
| 1700486339 | Benjamin Jacobs | Pharmacist | 268 S 7th St, Vinita, OK 74301-3737 | 2020-11-01 |
| 1548860554 | Gregory Taylor Knowles | Pharmacist | 268 S 7th St, Vinita, OK 74301-3737 | 2020-10-28 |
| 1356731400 | Allison Kate Harland | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2015-01-28 |
| 1922379841 | Erica Lawayn Wright | Pharmacist | 269 S 7th St, Vinita, OK 74301-3737 | 2012-01-24 |
| 1649341710 | Ronnie Logan Davis | Pharmacist | 201 N Scraper St, Vinita, OK 74301-3209 | 2006-11-12 |
| Find all providers in VINITA | ||||
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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.