Ricketa Moore, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH023368 Issued in GA

Practice address

7325 Jonesboro Rd
Morrow, GA 30260-2950

Phone

(678) 422-4854

Fax

(678) 422-5025

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Ricketa Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1386247989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 JONESBORO RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602950",
            "telephone_number": "678-422-4854",
            "fax_number": "678-422-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 JONESBORO RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602950",
            "telephone_number": "678-422-4854",
            "fax_number": "678-422-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RICKETA",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICKETA",
            "last_name": "MOORE",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Jasmine Mitchell, LMT
• Abner G. Moore, D.D.S.
• Rasheonna Uniqua Moore
• Randall David Morgan, MD
• Morrow Dental Center, LLC
• Morrow Eye Care, LLC
• Morrow Family Care
• Morrow Family Dentistry II LLC

• Pharmacist in Morrow, GA
• Providers in Morrow, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.