Organization Active NPI

The Moore Drugstore

  • Pharmacy
  • Phenix City, AL
National Provider Identifier
1760229264
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
THE MOORE DRUGSTORE
Practice address
2 Westridge Dr Ste 2B
Phenix City, AL 36870-6541
Phone
(334) 408-2465
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Wade Moore, PHARMDNPI 1588040463
Title
Owner
Phone
(706) 289-9181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary

Addresses

Primary practice location

2 Westridge Dr Ste 2B
Phenix City, AL 36870-6541

Mailing address

125 Lee Road 639
Salem, AL 36874-1376
Phone (706) 289-9181

National Provider Directory

National Provider Directory

Locations

2 Westridge Dr
Ste 2B
Phenix City, AL 36870
Phone (334) 408-2465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1760229264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LEE ROAD 639",
            "city": "SALEM",
            "state": "AL",
            "postal_code": "368741376",
            "telephone_number": "706-289-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WESTRIDGE DR STE 2B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368706541",
            "telephone_number": "334-408-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOORE DRUGSTORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-289-9181",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.