Active NPI
Russell Moore, PHARM.D.
- Oncology Pharmacist
- Durham, NC
National Provider Identifier
1578956124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 18965
- Practice address
- 20 Duke Medicine Cir # 5-1
Durham, NC 27710-2000 - Phone
- (919) 613-1940
- Fax
- (919) 613-3900
- NPI assigned
- Mar 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 18965 | NC | Primary |
Addresses
Primary practice location
20 Duke Medicine Cir # 5-1
Durham, NC 27710-2000
Mailing address
20 Duke Medicine Cir # 5-1
Durham, NC 27710-2000
Phone (919) 613-1940
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 |
|---|---|---|---|
| 18965 | NC | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1578956124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 DUKE MEDICINE CIR # 5-1",
"city": "DURHAM",
"state": "NC",
"postal_code": "277102000",
"telephone_number": "919-613-1940",
"fax_number": "919-668-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 DUKE MEDICINE CIR # 5-1",
"city": "DURHAM",
"state": "NC",
"postal_code": "277102000",
"telephone_number": "919-613-1940",
"fax_number": "919-613-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "RUSSELL",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-06",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "NC",
"license": "18965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.