Donald Raymond Moore, PHARM. D

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

31926 Issued in TX

Practice address

4810 North St
Nacogdoches, TX 75965-1876

Phone

(936) 564-1158

Fax

(936) 564-1035

NPI assigned

Nov 4, 2020

Last updated

Nov 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1477154664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 TUDOR DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759655817",
            "telephone_number": "936-645-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651876",
            "telephone_number": "936-564-1158",
            "fax_number": "936-564-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONALD",
        "middle_name": "RAYMOND",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TX",
            "license": "31926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Montoya, LBSW
• Tomeka Moody, MS, CCC/SLP
• Kelley E Moon, M.D.
• Moonrise Mental Health PLLC
• Caylee Donice Moore, M.S. CCC-SLP
• Shannon Maire Morgan, CBE
• Cory Morris
• Symika Darnell Morris, ASSOCIATES
• Morgan Davie Morton, LCSW
• Theresa Morton, R.N.

• Ambulatory Care Pharmacist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Ambulatory Care Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.