Stephen Gary Moss, PHARM.D.
Stephen Gary Moss is a Pharmacist provider (Pharmacist) practicing in Rexburg, ID, registered in the NPPES registry with NPI 1457636482 since 2011. The credential PHARMD stands for Doctor of Pharmacy. Practices at Broulim Supermarkets, LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457636482 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Stephen Gary Moss |
| Credential | PHARM.D. |
| Sex | Male |
| Practice address | 124 W MAIN ST, Rexburg, ID, 83440 |
| Phone | 2083565416 |
| Fax | 2083565653 |
| Enumeration date | 2011-10-21 |
| Last updated in NPPES | 2011-10-21 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | P5595 | ID |
PHARMD — Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential
Copy-ready billing details
Provider: Stephen Moss, PHARM.D. NPI: 1457636482 Taxonomy: 183500000X (Pharmacist) Address: 124 W MAIN ST, Rexburg, ID, 83440
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003969346 | Broulim Supermarkets, LLC | Organization | Community/Retail Pharmacy | Rexburg, ID |
| 1821601923 | Christopher Smith | Individual | Pharmacist | Rexburg, ID |
Verify this record
Cross-check NPI 1457636482 against the authoritative CMS record: view Stephen Gary Moss on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-10-21.