Kim Ann Moore

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02876300 Issued in NJ

Practice address

2006 Hwy 35
Spring Lake, NJ 07762-2543

Phone

(732) 282-0719

Fax

(732) 282-9069

NPI assigned

Feb 17, 2008

Last updated

Oct 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1801064423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 OVERLOOK DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274849",
            "telephone_number": "732-833-7326",
            "fax_number": "732-833-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HWY 35",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622543",
            "telephone_number": "732-282-0719",
            "fax_number": "732-282-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIM",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-17",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "040519",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02876300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn McGowan Dowd, MS, LPC, NCC
• Hannah McLane, APRN, FNP-C
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• Donald M Micallef, MD
• Constance E. Miller, LPC
• More Than Capable
• Andrew Morris, D.D.S.
• MVCG Psychotherapy Services, LLC
• Bryan T Nadrowski, DPT
• Laurette Nagy

• Pharmacist in Spring Lake, NJ
• Providers in Spring Lake, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.