Robert Lynn Moore, PHARM.D., PH.C.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PC00000226 Issued in NM

Practice address

1209 University Blvd NE
C/O Anti-Thrombosis Clinic
Albuquerque, NM 87102-1727

Phone

(505) 272-6202

NPI assigned

Nov 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Las Cruces, NM
  • NPI 1265662951
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1427385459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 UNIVERSITY BLVD NE",
            "address_2": "C/O ANTI-THROMBOSIS CLINIC",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021727",
            "telephone_number": "505-272-6202",
            "fax_number": "505-272-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 UNIVERSITY BLVD NE",
            "address_2": "C/O ANTI-THROMBOSIS CLINIC",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021727",
            "telephone_number": "505-272-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., PH.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007360",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "PC00000226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalie Rios Moore, PA
• Nazya Moore
• Pamela O Moore, LMHC
• Rachel Elizabeth Moore, MD
• Reginald Wayne Moore
• Roxi Moore, LCSW
• Sarah Ann Moore, MD
• Sean Alexander Moore, DDS
• Shannan Gabriella Moore
• Thomas G Moore

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.