Active NPI
Terry Mack Moore I, D.PH.
- Pharmacist
- Guymon, OK
National Provider Identifier
1235218603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8742
- Practice address
- 115 Medical Dr
Guymon, OK 73942-3606 - Phone
- (580) 338-7565
- Fax
- (580) 338-7302
- NPI assigned
- Nov 4, 2006
- Last updated
- Apr 1, 2011
- 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 | 8742 | OK | Primary |
Addresses
Primary practice location
115 Medical Dr
Guymon, OK 73942-3606
Mailing address
1307 N Sunset LN
Guymon, OK 73942-3142
Phone (580) 338-7565
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8742 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Pharmacy Inc | Current | Accepting new patients |
Locations
115 Medical Dr
Guymon, OK 73942
Phone (580) 338-7565
Organizations & group practices 1
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": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1235218603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 N SUNSET LN",
"city": "GUYMON",
"state": "OK",
"postal_code": "739423142",
"telephone_number": "580-338-7565",
"fax_number": "580-338-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MEDICAL DR",
"city": "GUYMON",
"state": "OK",
"postal_code": "739423606",
"telephone_number": "580-338-7565",
"fax_number": "580-338-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TERRY",
"middle_name": "MACK",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-04",
"last_updated": "2011-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guymon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.