NPIMap

Organization Active NPI

Moore's Pharmacy, Inc.

Doing business as moore's pharmacy vital care

  • Mail Order Pharmacy
  • Sinton, TX
National Provider Identifier
1114946274
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
01945 Issued in TX
Legal business name
MOORE'S PHARMACY, INC.
Doing business as
moore's pharmacy vital care
Practice address
200 S Rachal St
Sinton, TX 78387-2524
Phone
(361) 364-1520
Fax
(361) 364-4747
NPI assigned
Jul 19, 2006
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Kelby Dain Gorman, RPHNPI 1881808251
Title
President
Phone
(361) 853-2061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 01945 TX Primary

Addresses

Primary practice location

200 S Rachal St
Sinton, TX 78387-2524

Mailing address

200 S Rachal St
Sinton, TX 78387-2524
Phone (361) 364-1520

Other identifiers 5

IdentifierTypeStateIssuer
1209926-01MedicaidTX
1209926-02MedicaidTX
0135691-01MedicaidTX
750667OtherTXBCBS HIT
1209926-04MedicaidTX

Other names 1

  • moore's pharmacy vital care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moore's Pharmacy Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1114946274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S RACHAL ST",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "783872524",
            "telephone_number": "361-364-1520",
            "fax_number": "361-364-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S RACHAL ST",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "783872524",
            "telephone_number": "361-364-1520",
            "fax_number": "361-364-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "KELBY",
        "authorized_official_middle_name": "DAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-853-2061",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TX",
            "license": "01945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209926-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209926-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135691-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HIT",
            "identifier": "750667",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209926-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "moore's pharmacy vital care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "moore's pharmacy vital care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sinton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.