Active NPI
Christopher R Moore, PHARM.D.
- Pharmacist
- Shelbyville, IN
National Provider Identifier
1750829974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26021446A
- Practice address
- 1412 Miller Ave
Shelbyville, IN 46176-3135 - Phone
- (317) 421-2020
- NPI assigned
- Feb 8, 2017
- Last updated
- Mar 11, 2021
- Sex
- Male
- 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 | 26021446A | IN | Primary |
Addresses
Primary practice location
1412 Miller Ave
Shelbyville, IN 46176-3135
Mailing address
150 Marlin Dr
Greenwood, IN 46142-1451
Phone (317) 885-3010
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 |
|---|---|---|---|
| 26021446A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medworks, Inc | Current | Accepting new patients | |
| Medworks Inc | Current | Accepting new patients |
Locations
1412 Miller Ave
Shelbyville, IN 46176
Phone (317) 421-2020
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1750829974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MARLIN DR",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421451",
"telephone_number": "317-885-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 MILLER AVE",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461763135",
"telephone_number": "317-421-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-08",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021446A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.