Stephen James Moore, PHARM. D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

21305-40 Issued in WI

Practice address

11430 N Port Washington Rd Ste 103
Mequon, WI 53092-3414

Phone

(262) 518-1899

NPI assigned

Oct 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Froedtert Health Pharmacy LLC

  dba Froedtert Pharmacy 300

  • Community/Retail Pharmacy
  • Mequon, WI
  • NPI 1134777337
  NPD (past)
• Froedtert Memorial Lutheran Hospital, Inc.

  dba Froedtert & MCW Mequon Health Center Remote Dispensing Site

  • Community/Retail Pharmacy
  • Mequon, WI
  • NPI 1275056723
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1740942630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 E TEAKWOOD PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495515",
            "telephone_number": "602-540-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 N PORT WASHINGTON RD STE 103",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923414",
            "telephone_number": "262-518-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6462 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541036",
            "country_code": "US",
            "telephone_number": "414-761-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-08",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "21305-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn A Moglowsky, MA, LPC
• Sheppard B Mollick, DMD
• Sarah Mooney, MD
• Ashley Moore, AESTHETICIAN
• Candace Moore, NP
• Gregg Moral, M.D.
• Gabriela Madeleine Morris, M.D.
• Mark Alan Morrison, LCSW
• Courtney Lee Morse
• Lauren Mortimer, MS CCC-SLP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Mequon, WI
• Providers in Mequon, WI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.