Active NPI
Tiffany Ann Moore, PHARM.D.
- Pharmacist
- Lakewood, CO
National Provider Identifier
1518099076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17643
- Practice address
- 13111 W Alameda Pkwy
Lakewood, CO 80228-3108 - Phone
- (303) 980-0283
- Fax
- (303) 980-0923
- NPI assigned
- Mar 11, 2007
- Last updated
- Apr 25, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00065407 | WA | |
| Pharmacist | 183500000X | 17643 | CO | Primary |
| Pharmacist | 183500000X | 3149 | WY |
Addresses
Primary practice location
13111 W Alameda Pkwy
Lakewood, CO 80228-3108
Mailing address
6339 W Roxbury PL
Littleton, CO 80128-4675
Phone (303) 954-8932
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3149 | Other | WY | PHARMACIST |
| PH00065407 | Other | WA | PHARMACIST |
| 17643 | Other | CO | PHARMACIST |
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 |
|---|---|---|---|
| 17643 | CO | MD | Pharmacist |
| PH00065407 | WA | MD | Pharmacist |
| 3149 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272153600000",
"number": "1518099076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6339 W ROXBURY PL",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801284675",
"telephone_number": "303-954-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 W ALAMEDA PKWY",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802283108",
"telephone_number": "303-980-0283",
"fax_number": "303-980-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TIFFANY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2010-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00065407",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17643",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3149",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "3149",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "PH00065407",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "17643",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.