Dorothy M Moore, HOMEMAKER

Primary specialty

HomemakerTaxonomy code 376J00000X

License

BL20190001274 Issued in MS

Practice address

2211 Highway 45 N Ste G2211
Meridian, MS 39301-2730

Phone

(601) 616-0551

Fax

(601) 282-5009

NPI assigned

Oct 30, 2019

Last updated

Oct 30, 2019By the provider in NPPES

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

Other names 1

• Miss Dorothy Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1124662531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 HIGHWAY 45 N STE G2211",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393012730",
            "telephone_number": "601-616-0551",
            "fax_number": "601-282-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 HIGHWAY 45 N STE G2211",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393012730",
            "telephone_number": "601-616-0551",
            "fax_number": "601-282-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DOROTHY",
        "middle_name": "M",
        "credential": "HOMEMAKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MS",
            "license": "BL20190001274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "MOORE",
            "prefix": "MISS",
            "credential": "HOMEMAKER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Moffettrx LLC (Ole Towne Family Pharmacy)
• Moffettrx LLC (Ole Towne Family Pharmacy)
• Allyson Kale Monsour, MS, RD, LD
• Kayla Lee Monsour, PHARMD
• Derrick Monterey Moore Sr.
• Jennifer Ashley Moore, PHARMD
• Jonathan Houston Moore, M.D.
• Kari Moore, FNP
• Mark Moore, CFNP
• Mark Wayne Moore, D.M.D.

• Homemaker in Meridian, MS
• Providers in Meridian, MS by specialty
• Homemaker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.