Susanna Moore, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202010417 Issued in VA

Practice address

3460 Pump Rd
Richmond, VA 23233-1111

Phone

(804) 364-1488

NPI assigned

Mar 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114047123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 PARK CRESTE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592565",
            "telephone_number": "804-269-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 PUMP RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331111",
            "telephone_number": "804-364-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSANNA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202010417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Moore
• Shirley Luong Moore, LPC
• Sophie Moore
• Susan C Moore, CNS
• Susan Sharon Moore, MS, RD
• Tamesia Moore
• Tamika Moore
• William Francis Moore, M.D.
• Russell Ray Moores Jr., M.D.
• Kailey Breaun Moorhead, CRNA

• Pharmacist in Richmond, VA
• Providers in Richmond, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.