Madysen Moore, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-103788 Issued in KS

Practice address

13600 S Blackbob Rd
Olathe, KS 66062-1934

Phone

(913) 782-2039

NPI assigned

Aug 12, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Four B Corp

  dba Hen House

  • Community/Retail Pharmacy
  • Olathe, KS
  • NPI 1538275946
  NPD (past)
• Four B Corp

  dba Hen House Pharmacy

  • Pharmacy
  • Prairie Village, KS
  • NPI 1942735501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1306511258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13600 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621934",
            "telephone_number": "913-782-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621934",
            "telephone_number": "913-782-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MADYSEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-103788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mady.moore@ballsfoods.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "13600 S Blackbob Rd",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660621934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Curtis Alan Moore, MD
• Grace Moore, T-LMSW
• John B Moore IV, MD
• Julia Moore, DPT
• Julia Megan Moore, CSW
• Rhiannon Moore, PSY.D.
• Carter Moravek
• Clyde E. Morgan Jr., D.C.
• David Lloyd Morgan II, MD
• Amanda Morris, N.P.

• Pharmacist in Olathe, KS
• Providers in Olathe, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.