Rodney L Moore

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02381 Issued in MS

Legal business name

RODNEY L MOORE

Doing business as

Moore's Pharmacy

Practice address

103 Chadwick Ave
Walnut Grove, MS 39189

Phone

(601) 253-2599

Fax

(601) 253-2182

NPI assigned

Oct 13, 2006

Last updated

Jan 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rodney L Moore, RPH

Title

Owner

Phone

(601) 625-7158

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Moore's Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Chapin Moore, PHARMD

  • Pharmacist
  • Lena, MS
  • NPI 1154955003
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1376633818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391890369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHADWICK AVE",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "39189",
            "telephone_number": "601-253-2599",
            "fax_number": "601-253-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY L MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-625-7158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "02381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330046",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2517968",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• LHCG Xlix, LLC
• James W. Lock, MD
• Marshall Devolopmental Therapy Services Inc
• Neshoba County General Hospital (Walnut Grove Medical Associates)
• William Douglas Perry, MD
• Kymberly Lynn Stone

• Community/Retail Pharmacy in Walnut Grove, MS
• Providers in Walnut Grove, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.