Kimberly Moore, PHARMD, M.S.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2009018200 Issued in MO

Practice address

206 Corporate Lake Dr
Columbia, MO 65203-7172

Phone

(573) 814-1170

NPI assigned

Sep 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1831472760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 W STADIUM BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096023",
            "telephone_number": "573-556-7780",
            "fax_number": "737-614-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CORPORATE LAKE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037172",
            "telephone_number": "573-814-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 E Highway 24",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652703683",
            "country_code": "US",
            "telephone_number": "660-263-0494",
            "fax_number": "660-263-0498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1241 W Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651096023",
            "country_code": "US",
            "telephone_number": "573-556-7780",
            "fax_number": "573-761-4714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIMBERLY",
        "credential": "PHARMD, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2009018200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Leroy Moore
• Jania Ayrie Moore
• Joshua Steven Moore, PHARMD.
• Kelli Jo Moore, M.D.
• Kelly Moore, DO
• Michael Charles Moore, PH.D.
• Randa A Moore, M.ED., BCBA, LBA
• David W Moreton, M.D.
• Tucker Morey, MD
• Kira Morgan

• Pharmacist in Columbia, MO
• Providers in Columbia, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.