Brett Chapin Moore, PHARMD

Key facts

NPI

1154955003

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

E-15068 (MS)

Practice address

1212 Grand Ave
Lena, MS 39094-9580

Phone

(601) 780-2757

Fax

(601) 724-9438

NPI assigned

Mar 1, 2020

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Moore'S Pharmacy Lena LLC Community/Retail Pharmacy · Lena, MS · NPI 1568012383
  NPD Authorized official
• Rodney L Moore Community/Retail Pharmacy · Carthage, MS · NPI 1235241613
  NPD (past)
• Rodney L Moore Community/Retail Pharmacy · Walnut Grove, MS · NPI 1376633818
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 1, 2020.

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1154955003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ADAIR ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390479616",
            "telephone_number": "601-706-5417",
            "fax_number": "601-724-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 GRAND AVE",
            "city": "LENA",
            "state": "MS",
            "postal_code": "390949580",
            "telephone_number": "601-780-2757",
            "fax_number": "601-724-9438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16831 Highway 21 N",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "MS",
            "postal_code": "393599700",
            "country_code": "US",
            "telephone_number": "601-625-7158",
            "fax_number": "601-625-9480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514245",
            "country_code": "US",
            "telephone_number": "601-267-8078",
            "fax_number": "601-267-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Chadwick Ave E",
            "address_purpose": "LOCATION",
            "city": "Walnut Grove",
            "state": "MS",
            "postal_code": "391896547",
            "country_code": "US",
            "telephone_number": "601-253-2599",
            "fax_number": "601-253-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRETT",
        "middle_name": "CHAPIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-15068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lena, MS

• Janaisha Berry, NP
• Rebecca Annette Johnston, FNP-C
• Dustin Kelly, RN
• Lena Family Medical, Inc.
• Magnolia Recreation and Services LLC
• Itanjula Moore
• Moore'S Pharmacy Lena LLC
• Rikki M Parker, FNP
• River Bend Services, Inc.
• Teresa Savoie, LCSW

All providers in Lena, MS · Pharmacist in Mississippi