Moore Drug Store, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOORE DRUG STORE, INC.

Practice address

909 S Courtland Ave
Kokomo, IN 46901-5359

Phone

(765) 454-5214

Fax

(765) 454-5215

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sarah Elizabeth Cotner

Title

Vice-President

Phone

(765) 454-5210

Specialties & licenses 1

Addresses

Other names 1

• Moore's Orthotics and Support Doing business as

Locations

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1851372049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W MARKLAND AVE",
            "address_2": "STE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469016110",
            "telephone_number": "765-454-5210",
            "fax_number": "765-454-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S COURTLAND AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015359",
            "telephone_number": "765-454-5214",
            "fax_number": "765-454-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "COTNER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "765-454-5210",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore's Orthotics and Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rikki Monson-Erb
• Kimberley Sue Montgomery, LCSW
• Susan W Moody, LCSW, LCAC, RPT
• Alyssa Marie Moon
• Moore Drug Store, Inc.
• Alexia Moore
• Annette M Moore, MD
• Duane W Moore, LMHC
• Jeri H Moore, M.A.
• Molly Moore, RBT

• Durable Medical Equipment & Medical Supplies in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.