Mallory Lou Moore, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

27693 Issued in NC

Practice address

200 Hawthorne LN
Charlotte, NC 28204-2515

Phone

(704) 316-4610

NPI assigned

Aug 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1326694167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E STONEWALL ST APT 513",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043084",
            "telephone_number": "919-302-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042515",
            "telephone_number": "704-316-4610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6488 Weddington Rd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "NC",
            "postal_code": "281046277",
            "country_code": "US",
            "telephone_number": "704-316-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3149 Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282083869",
            "country_code": "US",
            "telephone_number": "704-316-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Wellness Blvd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281107769",
            "country_code": "US",
            "telephone_number": "704-316-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Statesville Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28206",
            "country_code": "US",
            "telephone_number": "704-316-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Freedom Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282081000",
            "country_code": "US",
            "telephone_number": "704-316-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13425 Hoover Creek Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282730170",
            "country_code": "US",
            "telephone_number": "704-316-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MALLORY",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NC",
            "license": "27693",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TN",
            "license": "41513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Natalie Moore, LCMHC
• Laura Pippitt Moore, MD
• Lauren Rebecca Moore, NP
• Lisa Moore, RN
• Lydia Halsey Moore, MSW, LCSW
• Margaret Moore, MS, CCC-SLP
• Margaret Anne Moore
• Maria Gaynier Moore, PA-C
• Marie Murphy Moore, NP
• Mark Benton Moore, ARNP

• Ambulatory Care Pharmacist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Ambulatory Care Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.