Moore Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4533 Issued in TN

Legal business name

MOORE PHARMACY

Practice address

1860 Shady Brook St
Columbia, TN 38401-3944

Phone

(931) 548-8308

Fax

(931) 548-8310

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Terry D. Moore, DPH

Title

Owner-Pharmacist

Phone

(931) 548-8308

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Moore Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moore Pharmacy

  • Community/Retail Pharmacy
  • Columbia, TN
  • NPI 1194279794
  NPD tax ID

Locations

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1558517177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SHADY BROOK ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013944",
            "telephone_number": "931-548-8308",
            "fax_number": "931-548-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SHADY BROOK ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013944",
            "telephone_number": "931-548-8308",
            "fax_number": "931-548-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER-PHARMACIST",
        "authorized_official_telephone_number": "931-548-8308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY NUMBER",
            "identifier": "4533",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scout Monteith, PA-C
• Erica Jean Montgomery, OT
• Kristen Clay Montgomery, FNP-BC
• Nioka Fawn Montgomery
• Moore Pharmacy
• Heather Moore, NP
• Jackie Kaye Moore, RN
• Joseph C Moore, MD
• Melissa R Moore, NP
• Phyllis Diane Moore I, AAS

• Community/Retail Pharmacy in Columbia, TN
• Providers in Columbia, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.