Organization Active NPI

Moore Healthcare, Inc.

  • Pharmacy
  • Cleveland, OK
National Provider Identifier
1679617492
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
52-4094 Issued in OK
Legal business name
MOORE HEALTHCARE, INC.
Practice address
301 N Broadway St
Cleveland, OK 74020-3421
Phone
(918) 358-2587
Fax
(918) 358-2588
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gary E Moore, DPH.
Title
Owner
Phone
(918) 358-2524

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OK
Pharmacy 333600000X 52-4094 OK Primary

Addresses

Primary practice location

301 N Broadway St
Cleveland, OK 74020-3421

Mailing address

301 N Broadway St
Cleveland, OK 74020-3421
Phone (918) 358-2587

Other identifiers 1

IdentifierTypeStateIssuer
100811860AMedicaidOK

Other names 1

  • MOORE HEALTHCARE, INC. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679617492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N BROADWAY ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203421",
            "telephone_number": "918-358-2587",
            "fax_number": "918-358-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BROADWAY ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203421",
            "telephone_number": "918-358-2587",
            "fax_number": "918-358-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-358-2524",
        "authorized_official_credential": "DPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "52-4094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100811860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOORE HEALTHCARE, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.