Active NPI
Kristen M Moore, PHARM.D
- Pharmacist
- Cary, NC
National Provider Identifier
1720244239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18931
- Practice address
- 1105 Ballena Circle
Cary, NC 27513 - Phone
- (919) 650-3883
- Fax
- (919) 650-1746
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 18931 | NC | Primary |
Addresses
Primary practice location
1105 Ballena Circle
Cary, NC 27513
Mailing address
104 Waccamaw CT
Holly Springs, NC 27540-6008
Phone (919) 741-8810
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 |
|---|---|---|---|
| 18931 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A to Z Pharmacy LLC | Current | Accepting new patients |
Locations
1105 Ballena Cir
Cary, NC 27513
Phone (919) 650-3883
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Cary, NC
- NPI 1366918971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1720244239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WACCAMAW CT",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275406008",
"telephone_number": "919-741-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 BALLENA CIRCLE",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "919-650-3883",
"fax_number": "919-650-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KRISTEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.