Active NPI
Mark Anthony Moyers, R.PH.
- Pharmacist
- Farmington, MO
National Provider Identifier
1386017200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043068
- Practice address
- 942 Valley Creek Dr
Farmington, MO 63640-1968 - Phone
- (573) 664-5202
- NPI assigned
- Nov 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043068 | MO | Primary |
Addresses
Primary practice location
942 Valley Creek Dr
Farmington, MO 63640-1968
Mailing address
3107 Ridgewood Hills Dr
Farmington, MO 63640-7758
Phone (573) 760-2454
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043068 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1386017200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3107 RIDGEWOOD HILLS DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636407758",
"telephone_number": "573-760-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 VALLEY CREEK DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401968",
"telephone_number": "573-664-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYERS",
"first_name": "MARK",
"middle_name": "ANTHONY",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-02",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.