Individual provider Active NPI

Lynn Chorey Moore Sr., PHARMD

  • Pharmacist
  • Kernersville, NC
National Provider Identifier
1053146928
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13888 Issued in NC
Practice address
1601 Old Greensboro Rd Ste B
Kernersville, NC 27284-6855
Phone
(800) 323-6832
Fax
(855) 270-7347
NPI assigned
Sep 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13888 NC Primary

Addresses

Primary practice location

1601 Old Greensboro Rd Ste B
Kernersville, NC 27284-6855

Mailing address

1601 Old Greensboro Rd Ste B
Kernersville, NC 27284-6855
Phone (800) 323-6832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
13888NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nufactor, Inc. PastSince Sep 8, 2024 Accepting new patients
Nufactor Inc PastSince Sep 8, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1053146928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OLD GREENSBORO RD STE B",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846855",
            "telephone_number": "800-323-6832",
            "fax_number": "855-270-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 OLD GREENSBORO RD STE B",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846855",
            "telephone_number": "800-323-6832",
            "fax_number": "855-270-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LYNN",
        "middle_name": "CHOREY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.