Caitlin Moore, PHARMD., RPH
Individual provider Active NPI Pharmacist · Demopolis, AL
NPI 1609463140 · NPPES record last updated Dec 30, 2020
Key facts
- NPI
- 1609463140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21681 (AL)
- Practice address
- 969 US Highway 80 W
Demopolis, AL 36732-4102 - Phone
- (334) 289-9897
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21681 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21681 | AL | Yes |
Addresses
Primary practice location
969 US Highway 80 W
Demopolis, AL 36732-4102
Mailing address
2260 County Road 33
Linden, AL 36748-3526
Other providers in Demopolis, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.