Active NPI
Toni Garner Moore, PHARMACIST
- Pharmacist
- Hartsville, SC
National Provider Identifier
1114552213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8714
- Practice address
- 901 S 5TH St
Hartsville, SC 29550-5739 - Phone
- (843) 332-4523
- NPI assigned
- Mar 9, 2020
- Last updated
- Mar 9, 2020
- 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 | 8714 | SC | Primary |
Addresses
Primary practice location
901 S 5TH St
Hartsville, SC 29550-5739
Mailing address
3031 Spring Fancy LN
Indian Trail, NC 28079-5233
Phone (704) 821-4205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15572 | Other | NC | BOARD OF PHARMACY |
| 8714 | Other | SC | BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8714 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
901 S 5th St
Hartsville, SC 29550
Phone (843) 332-4523
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, 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": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1114552213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 SPRING FANCY LN",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280795233",
"telephone_number": "704-821-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S 5TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505739",
"telephone_number": "843-332-4523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TONI",
"middle_name": "GARNER",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "15572",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "8714",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.