Moores Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

23216 Issued in TX

Legal business name

MOORES PHARMACY INC

Practice address

5945 McArdle Rd Ste 101
Corpus Christi, TX 78412-3491

Phone

(361) 853-2061

Fax

(361) 853-2055

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Kelby Dain Gorman, R.PH.

Title

President

Phone

(361) 853-2061

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MOORES COMPOUNDING PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Moore'S Pharmacy Inc.

  • Community/Retail Pharmacy
  • Sinton, TX
  • NPI 1114962594

  O20111109000362

  Same enrollment
• Moore'S Pharmacy Inc.

  • Community/Retail Pharmacy
  • Beeville, TX
  • NPI 1649333469

  O20111109000362

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Thatcher Saules

  • Pharmacist
  • Corpus Christi, TX
  • NPI 1538047329
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1346301413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 MCARDLE RD",
            "address_2": "STE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123490",
            "telephone_number": "361-853-2061",
            "fax_number": "361-853-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 MCARDLE RD STE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123491",
            "telephone_number": "361-853-2061",
            "fax_number": "361-853-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "KELBY",
        "authorized_official_middle_name": "DAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-853-2061",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23216",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4537025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOORES COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOORES COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Trent Moore, D.C.
• Linden Moore
• Margie Moore, CPNP
• Paul F. Moore Jr., PA-C
• Tristian Moore
• Moores Pharmacy Inc
• Ana Alyssa Morales, LPC-A
• Catherine Elizabeth Morales, APRN PNP
• Elizabeth Morales, ATC, LAT, MAED
• Emily Jean Morales, DC

• Community/Retail Pharmacy in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.