Active NPI
Megan Leann Moore, PHARM D
- Pharmacist
- Russellville, AR
National Provider Identifier
1346016276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD16174
- Practice address
- 3103 W Main PL
Russellville, AR 72801-3398 - Phone
- (479) 968-1323
- NPI assigned
- Dec 1, 2023
- Sex
- Female
- 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 | PD16174 | AR | Primary |
Addresses
Primary practice location
3103 W Main PL
Russellville, AR 72801-3398
Mailing address
17830 N State Highway 7
Dardanelle, AR 72834-8521
Phone (870) 267-4955
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD16174 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1346016276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17830 N STATE HIGHWAY 7",
"city": "DARDANELLE",
"state": "AR",
"postal_code": "728348521",
"telephone_number": "870-267-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 W MAIN PL",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013398",
"telephone_number": "479-968-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MEGAN",
"middle_name": "LEANN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD16174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.