Active NPI
Kimberly Blevins Moore, R.PH.
- Pharmacist
- Stanton, KY
National Provider Identifier
1740570191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010876
- Practice address
- 125 N. Main Street
Stanton, KY 40380 - Phone
- (606) 663-2521
- Fax
- (606) 663-7662
- NPI assigned
- Apr 19, 2011
- Last updated
- Apr 19, 2011
- 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 | 010876 | KY | Primary |
Addresses
Primary practice location
125 N. Main Street
Stanton, KY 40380
Mailing address
29 S Teresa Dr
Owingsville, KY 40360-2010
Phone (606) 674-8532
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010876 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1740570191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 S TERESA DR",
"city": "OWINGSVILLE",
"state": "KY",
"postal_code": "403602010",
"telephone_number": "606-674-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N. MAIN STREET",
"city": "STANTON",
"state": "KY",
"postal_code": "40380",
"telephone_number": "606-663-2521",
"fax_number": "606-663-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KIMBERLY",
"middle_name": "BLEVINS",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanton, KY
- King & Points Physical Therapy and Rehabilitation Services, PSC (King & Points Rehab of Stanton)
- Kroger Limited Partnership I (Kroger Pharmacy)
- Dillon James Kenneth Leisure, RPH
- Christy Jo Lumpkins, CSW
- Timothy Owen Marcum, OT
- Rhoda Jean Murphy, OT
- Sarah L Murphy, PA-C
- Erin Nalle
- New Vista of the Bluegrass Inc
- Beatrice O Newell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.