Active NPI
Chase Moore, PHARMD
- Pharmacist
- Quincy, IL
National Provider Identifier
1366043945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.297383
- Practice address
- 1025 Maine St
Quincy, IL 62301-4038 - Phone
- (217) 222-6550
- NPI assigned
- Nov 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2012028249 | MO | |
| Pharmacist | 183500000X | 051.297383 | IL | Primary |
Addresses
Primary practice location
1025 Maine St
Quincy, IL 62301-4038
Mailing address
1621 Fieldstone Dr
Quincy, IL 62305-6602
Phone (217) 222-6550
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 |
|---|---|---|---|
| 051.297383 | IL | MD | Pharmacist |
| 2012028249 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1366043945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 FIELDSTONE DR",
"city": "QUINCY",
"state": "IL",
"postal_code": "623056602",
"telephone_number": "217-222-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014038",
"telephone_number": "217-222-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHASE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-02",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012028249",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.297383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.