Active NPI
Adam Rhett Moore, PHARMD
- Pharmacist
- Valdosta, GA
National Provider Identifier
1194023820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022529
- Practice address
- 2704 N Oak St BLDG B1
Valdosta, GA 31602 - Phone
- (229) 244-5353
- Fax
- (229) 244-5357
- NPI assigned
- Mar 3, 2011
- Last updated
- Aug 2, 2018
- Sex
- Male
- 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 | 022529 | GA | Primary |
Addresses
Primary practice location
2704 N Oak St BLDG B1
Valdosta, GA 31602
Mailing address
2704 N Oak St BLDG B1
Valdosta, GA 31602-1771
Phone (229) 244-5353
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022529 | GA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armor Drugs LLC | Current | Accepting new patients | |
| Armor Drugs LLC | Current | Accepting new patients |
Locations
2704 N Oak St
Bldg B1
Valdosta, GA 31602
Phone (229) 244-5353
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": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1194023820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 N OAK ST BLDG B1",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021771",
"telephone_number": "229-244-5353",
"fax_number": "229-244-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 N OAK ST BLDG B1",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31602",
"telephone_number": "229-244-5353",
"fax_number": "229-244-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ADAM",
"middle_name": "RHETT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-03",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "022529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.