Active NPI
Tolbert James Moore, RPH
- Pharmacist
- Denton, TX
National Provider Identifier
1790258507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25338
- Practice address
- 4400 Teasley LN Ste 100
Denton, TX 76210-4651 - Phone
- (940) 382-1618
- Fax
- (940) 898-1986
- NPI assigned
- Jan 3, 2019
- Sex
- Male
- 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 | 25338 | TX | Primary |
Addresses
Primary practice location
4400 Teasley LN Ste 100
Denton, TX 76210-4651
Mailing address
4400 Teasley LN Ste 100
Denton, TX 76210-4651
Phone (940) 382-1618
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 |
|---|---|---|---|
| 25338 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1790258507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 TEASLEY LN STE 100",
"city": "DENTON",
"state": "TX",
"postal_code": "762104651",
"telephone_number": "940-382-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 TEASLEY LN STE 100",
"city": "DENTON",
"state": "TX",
"postal_code": "762104651",
"telephone_number": "940-382-1618",
"fax_number": "940-898-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TOLBERT",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "25338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.