Individual provider Active NPI

Kristen M Moore, PHARM.D

  • Pharmacist
  • Cary, NC
National Provider Identifier
1720244239
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18931 Issued in NC
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

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
18931NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.