Active NPI
Kandace Ann O'Mallan, PHARM.D.
- Pharmacist
- Bay City, TX
National Provider Identifier
1053498089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34547
- Practice address
- 2700 7TH St
Bay City, TX 77414-5305 - Phone
- (979) 245-1881
- Fax
- (979) 244-1945
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34547 | TX | Primary |
Addresses
Primary practice location
2700 7TH St
Bay City, TX 77414-5305
Mailing address
2700 Seventh Street
Bay City, TX 77414
Phone (979) 245-1881
Other names 1
- Dr. Kandace Ann Moore
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34547 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1053498089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SEVENTH STREET",
"city": "BAY CITY",
"state": "TX",
"postal_code": "77414",
"telephone_number": "979-245-1881",
"fax_number": "979-244-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 7TH ST",
"city": "BAY CITY",
"state": "TX",
"postal_code": "774145305",
"telephone_number": "979-245-1881",
"fax_number": "979-244-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLAN",
"first_name": "KANDACE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "34547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KANDACE",
"last_name": "MOORE",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bay City, TX
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- The Nguyen, PHARMD
- Tho Nguyen, RN
- Northland Hearing Centers, Inc. (NewSound Hearing Aid Centers)
- Nra Bay City L.P. (Matagorda Renal Dialysis Center)
- Oak Tree Diagnostic, LLC
- Oak Tree Imaging, LP
- Oakbend Medical Center (Bay Villa Health Care Center)
- Manuel G Olvera, LPC
- Open Vista Emergency Physicians, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.