Individual provider · Type 1 NPI

Jake Mossman, RPH

Pharmacist · Taos, NM

NPI number 1891756185 Active

Practice location

622 Paseo Del Pueblo Sur, 5401 Ndcbu
Taos, NM 87571-5101

Mailing address

PO Box 942
El Prado, NM 87529-0942

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X4584 (NM)

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…

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About NPI 1891756185

Jake Mossman, RPH's National Provider Identifier is 1891756185, issued on Mar 28, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Taos, NM. The record was last updated on Jul 13, 2026.