Breanna Barbara Moore, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

24600 Issued in IA

Practice address

2420 Lincoln Way
Ames, IA 50014-7448

Phone

(515) 292-2990

NPI assigned

Sep 22, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1023731130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 NE 5TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216945",
            "telephone_number": "309-235-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 LINCOLN WAY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147448",
            "telephone_number": "515-292-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BREANNA",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "breannamoore1@cvs.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2420 Lincoln Way",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500147448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arul Mozhi Molian, M.D.
• Dory Moon, MPT
• Amy N Mooney, PH.D., LMHC
• Annie Lee Moore
• Audrey Moore
• David Brian Moore, M.D.
• David Dean Moore III, MD
• Jacob B Moore, DPT
• John Richard Moore, D.C.
• Kelly C Moore, LISW

• Pharmacist in Ames, IA
• Providers in Ames, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.