Kailey Lynn Moore

Primary specialty

PharmacistTaxonomy code 183500000X

License

P8030 Issued in ID

Practice address

376 West 18TH Street
Idaho Falls, ID 83402

Phone

(208) 681-8233

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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

• Walgreen Co

  • Pharmacy
  • Idaho Falls, ID
  • NPI 1093996399
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Ammon, ID
  • NPI 1811030950
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1013402809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 W 18TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024445",
            "telephone_number": "208-681-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 WEST 18TH STREET",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83402",
            "telephone_number": "208-681-8233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3475 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Ammon",
            "state": "ID",
            "postal_code": "834066781",
            "country_code": "US",
            "telephone_number": "208-227-5083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1604 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834023048",
            "country_code": "US",
            "telephone_number": "208-522-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAILEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P8030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie J Moon
• Shannon Mooney, BEHAVIOR SPECIALIST
• Amanda Moore, LPC
• Heather A Moore, RN
• Jared Lee Moore, PHARMD
• Megan Marie Moore, CCC-SLP
• Michael Kirk Moore Jr., M.D., P.C.
• Moose Creek Anesthesia PC
• Mooso Orthodontics
• Brett Eddis Mooso, D.D.S.,M.S.,P.A.

• Pharmacist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.