Takesha D Moore, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202209363 Issued in VA

Practice address

2707 Greensboro Rd
Martinsville, VA 24112-9104

Phone

(276) 632-0180

NPI assigned

Sep 1, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #12495

  • Pharmacy
  • Martinsville, VA
  • NPI 1750538195
  NPD
• Walgreen Co

  dba Walgreens #13013

  • Pharmacy
  • Rocky Mount, VA
  • NPI 1770891350
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1013298256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 GREENSBORO RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241129104",
            "telephone_number": "276-632-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 GREENSBORO RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241129104",
            "telephone_number": "276-632-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Old Franklin Tpke",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "VA",
            "postal_code": "241512804",
            "country_code": "US",
            "telephone_number": "540-482-0206",
            "fax_number": "540-482-0194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAKESHA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202209363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Medical and Training Solutions LLC
• Kristi Barnes Monroe, PMHNP
• Pricie L Mooney-Walker, MA, CCC-SLP
• James Peyton Moore, Jr, DDS
• Kayla Moore
• Amber Teegen Morton, PA-C
• Renee Mosley, FNP
• Mpowering Kids Mentoring LLC
• James K Muehleck, D.D.S.
• N&T Transportation Service

• Pharmacist in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.