Terance Moore, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH024043 Issued in GA

Practice address

1155 E Pershing Rd
Decatur, IL 62526-4726

Phone

(217) 877-2374

Fax

(217) 877-0117

NPI assigned

Mar 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1063786176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 E PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264726",
            "telephone_number": "217-877-2374",
            "fax_number": "217-877-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264726",
            "telephone_number": "217-877-2374",
            "fax_number": "217-877-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TERANCE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH024043",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051295224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Moore
• Elizabeth Moore, DMD
• Emma Moore
• Mark J Moore Jr., MD
• Renata Charissa Moore, M.D.
• Timothy Howard Moore, L.P.C.
• Adills Moosa, DO
• Edna S Morgan
• David R Morgret, O.D.
• Vidya Sagar Rao Morisetty, MD

• Pharmacist in Decatur, IL
• Providers in Decatur, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.