Stacie Moore

Primary specialty

PharmacistTaxonomy code 183500000X

License

03337418 Issued in OH

Practice address

4121 Monroe St
Toledo, OH 43606-3239

Phone

(419) 475-4148

NPI assigned

Jul 18, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ohio CVS Stores LLC

  • Pharmacy
  • Toledo, OH
  • NPI 1558794602
  NPD (past)
• Ohio CVS Stores, L.L.C.

  • Pharmacy
  • Woodmere, OH
  • NPI 1922736305
  NPD (past)
• Rite Aid of Ohio Inc

  • Community/Retail Pharmacy
  • Toledo, OH
  • NPI 1073684676
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633219200000",
    "number": "1326524752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 COLBURN ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436093246",
            "telephone_number": "419-514-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063239",
            "telephone_number": "419-475-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03337418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Moore Sr.
• Onnastacia Moore
• Peta-Gaye Moore
• Sean Moore, CRNA
• Sherika M Moore
• Tiana Moore, LPN
• Trini Rochele Moore
• Vinetta Denise Moore, LSW
• Demetreus Moorer-Saunders
• Ashleigh Moorer

• Pharmacist in Toledo, OH
• Providers in Toledo, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.