Ronnie Jaye Moore

Primary specialty

PharmacistTaxonomy code 183500000X

License

052895 Issued in NY

Practice address

861 Robinwood Rd
Township of Washington, NJ 07676-4244

Phone

(201) 851-4804

NPI assigned

Oct 28, 2008

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

Other identifiers 1

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.

• Mbros TNT LLC

  • Community/Behavioral Health Agency
  • Township of Washington, NJ
  • NPI 1336749076
  NPD Authorized official
• Allure Specialty Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1538694955
  NPD

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1083867535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 ROBINWOOD RD",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764244",
            "telephone_number": "201-851-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 ROBINWOOD RD",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764244",
            "telephone_number": "201-851-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RONNIE",
        "middle_name": "JAYE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "052895",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03022800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01686479",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Maalouf, RDN
• Victoria Mazon, NP
• Mbros TNT LLC
• Melissa Catherine Mitchell
• Hayden N Moore, 44SC04689500
• Francesca Morin, M.A., CCC-SLP
• Muscle Solace LLC
• New Concepts for Living
• NJZ Allied Medical Associates PC
• Northstar School Transportation

• Pharmacist in Township of Washington, NJ
• Providers in Township of Washington, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.