Amber Dawn Moore
Individual provider Active NPI Pharmacist · Arkansas City, KS
NPI 1326329574 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1326329574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-13864 (KS)
- Practice address
- 2100 N Summit St
Arkansas City, KS 67005-3855 - Phone
- (620) 441-0283
- Fax
- (620) 441-0887
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-13864 | KS | MD | Pharmacist |
| 13530 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-13864 | KS | Yes |
| Pharmacist | 183500000X | 13530 | OK |
Addresses
Primary practice location
2100 N Summit St
Arkansas City, KS 67005-3855
Mailing address
2100 N Summit St
Arkansas City, KS 67005-3855
Phone (620) 441-0283
Other providers in Arkansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.