Organization Active NPI

Moore'S Pharmacy Inc.

  • Community/Retail Pharmacy
  • Beeville, TX
National Provider Identifier
1649333469
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30113 Issued in TX
Legal business name
MOORE'S PHARMACY INC.
Practice address
1000 E Houston St
Beeville, TX 78102-5259
Phone
(361) 358-2811
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Mr. Kelby D Gorman, R.PH.
Title
Vice President
Phone
(361) 364-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 30113 TX Primary

Addresses

Primary practice location

1000 E Houston St
Beeville, TX 78102-5259

Mailing address

1000 E Houston St
Beeville, TX 78102-5259
Phone (361) 358-2811

Other identifiers 1

IdentifierTypeStateIssuer
143841MedicaidTX

Other names 1

  • Moore's City Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000362 TX Part B Supplier - Pharmacy 1759398985 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sinton, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1000 E Houston St
Beeville, TX 78102
Phone (361) 304-8771

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1649333469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025259",
            "telephone_number": "361-358-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025259",
            "telephone_number": "361-358-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "KELBY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "361-364-1416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143841",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore's City Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.