Active NPI
Joseph E Moore, RPH
- Pharmacist
- Selma, AL
National Provider Identifier
1245411065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6876
- Practice address
- 133 Broad St
Selma, AL 36701-4606 - Phone
- (334) 875-7223
- Fax
- (334) 875-4679
- NPI assigned
- Nov 20, 2007
- 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 | 6876 | AL | Primary |
Addresses
Primary practice location
133 Broad St
Selma, AL 36701-4606
Mailing address
133 Broad Street
Selma, AL 36701
Phone (334) 875-7223
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6876 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1245411065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BROAD STREET",
"city": "SELMA",
"state": "AL",
"postal_code": "36701",
"telephone_number": "334-875-7223",
"fax_number": "334-875-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 BROAD ST",
"city": "SELMA",
"state": "AL",
"postal_code": "367014606",
"telephone_number": "334-875-7223",
"fax_number": "334-875-4679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JOSEPH",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "6876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.