Robert Scott Moore, PHARMD

Key facts

NPI

1194247627

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

019336 (KY)

Practice address

59 Highway 15 N
Jackson, KY 41339-9631

Phone

(606) 666-2883

NPI assigned

Jul 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2017.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1194247627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PROCTOR RD",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413117569",
            "telephone_number": "606-560-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 HIGHWAY 15 N",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399631",
            "telephone_number": "606-666-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "019336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

• Edgar A D Mendoza, M.D.
• Pablo Alabanza Merced, M.D.
• Peter Anthony Merced
• Mercy Clinic of Jackson, PLLC
• Crystal Dawn Meyer, MSN, APRN, FNP-C
• Trudy Ann Moore, M.D.
• James Brian Morris, P.T.
• Jonathan Charles Morris, PT
• Mother of Good Counsel
• Deborah Mullins

All providers in Jackson, KY · Pharmacist in Kentucky