Melissa Elizabeth Moore, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH030533 Issued in GA

Practice address

510 Ga Highway 247 S
Bonaire, GA 31005-3865

Phone

(478) 273-6163

NPI assigned

Nov 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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.

• Georgia CVS Pharmacy L.L.C

  dba CVS Pharmacy #11017

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)
• Georgia CVS Pharmacy, L.L.C.

  dba CVS Pharmacy #04677

  • Pharmacy
  • Columbus, GA
  • NPI 1366545113
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Bonaire, GA
  • NPI 1841791126
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1790253235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 HICKS RD",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "310762449",
            "telephone_number": "706-442-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GA HIGHWAY 247 S",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053865",
            "telephone_number": "478-273-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3617 Hilton Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319047392",
            "country_code": "US",
            "telephone_number": "706-324-0169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELISSA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "20443",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "030533",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Walley McWhorter
• Marla Alicia Middlebrooks
• Sharon A Miliner
• Austin David Millwood
• Miracles in Motion, LLC
• Peter Murphy
• Nanette R Navedo, LMT, LE, MMP, MLD-C
• Adewale Anthony Oderinde, NP
• John Okolo, N.P
• Joan Oxley, LMSW

• Pharmacist in Bonaire, GA
• Providers in Bonaire, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.