Active NPI
Bridget Antoinette Moore, PHARM. D.
- Pharmacist
- Robins Afb, GA
National Provider Identifier
1386785236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020240
- Practice address
- 655 7TH St BLDG 700700a
78 MDG/SGSD
Robins Afb, GA 31098-2227 - Phone
- (478) 327-8164
- NPI assigned
- Feb 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020240 | GA | Primary |
| Pharmacist | 183500000X | 018719 | LA |
Addresses
Primary practice location
655 7TH St BLDG 700700a
78 MDG/SGSD
Robins Afb, GA 31098-2227
Mailing address
106 Glen Arbor LN
Warner Robins, GA 31088-9133
Phone (404) 718-0752
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 |
|---|---|---|---|
| 020240 | GA | MD | Pharmacist |
| 018719 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Munro Psy D PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Military Hospital
- Robins Afb, GA
- NPI 1689886137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1386785236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 GLEN ARBOR LN",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310889133",
"telephone_number": "404-718-0752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 7TH ST BLDG 700700A",
"address_2": "78 MDG/SGSD",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "310982227",
"telephone_number": "478-327-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "BRIDGET",
"middle_name": "ANTOINETTE",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "020240",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "018719",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robins Afb, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.