Active NPI
Jennifer Ashley Moore, PHARMD
- Pharmacist
- Meridian, MS
National Provider Identifier
1700314093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-010852
- Practice address
- 5100 Highway 39 N
Meridian, MS 39301-1023 - Phone
- (601) 485-0818
- NPI assigned
- May 31, 2017
- Last updated
- May 31, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-010852 | MS | Primary |
Addresses
Primary practice location
5100 Highway 39 N
Meridian, MS 39301-1023
Mailing address
320 Longwood Dr
Meridian, MS 39305-8231
Phone (205) 242-9598
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 |
|---|---|---|---|
| E-010852 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496188800000",
"number": "1700314093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 LONGWOOD DR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393058231",
"telephone_number": "205-242-9598",
"fax_number": "205-242-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 HIGHWAY 39 N",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393011023",
"telephone_number": "601-485-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JENNIFER",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2017-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-010852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.