Active NPI
Lindsay Moore, PHARMD
- Pharmacist
- Tyler, TX
National Provider Identifier
1386229920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68215
- Practice address
- 2151 Frankston Hwy
Tyler, TX 75701-3808 - Phone
- (903) 405-6199
- NPI assigned
- Mar 16, 2021
- Last updated
- Mar 16, 2021
- 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 | 68215 | TX | Primary |
Addresses
Primary practice location
2151 Frankston Hwy
Tyler, TX 75701-3808
Mailing address
321 4TH St Apt I
Chandler, TX 75758-2277
Other practice location 1
207 N 3rd St
Mabank, TX 75147-8610
Phone (903) 887-3711
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 |
|---|---|---|---|
| 68215 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas LLC | Past | Accepting new patients | |
| Wal-Mart Stores Texas, LLC | Past | Accepting new patients | |
| Dewayne L Chapman | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Walmart Pharmacy 10-1484
- Community/Retail Pharmacy
- Melissa, TX
- NPI 1386521797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1386229920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 4TH ST APT I",
"city": "CHANDLER",
"state": "TX",
"postal_code": "757582277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 FRANKSTON HWY",
"city": "TYLER",
"state": "TX",
"postal_code": "757013808",
"telephone_number": "903-405-6199"
}
],
"practiceLocations": [
{
"address_1": "207 N 3rd St",
"address_purpose": "LOCATION",
"city": "Mabank",
"state": "TX",
"postal_code": "751478610",
"country_code": "US",
"telephone_number": "903-887-3711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.