Susan Reed Moore

Primary specialty

PharmacistTaxonomy code 183500000X

License

12994 Issued in OK

Practice address

601 12TH Ave NE
Norman, OK 73071-5324

Phone

(405) 579-5208

Fax

(405) 579-5210

NPI assigned

Nov 21, 2020

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

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Norman, OK
  • NPI 1316964448
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1881297703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 12TH AVE NE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715324",
            "telephone_number": "405-579-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 12TH AVE NE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715324",
            "telephone_number": "405-579-5208",
            "fax_number": "405-579-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSAN",
        "middle_name": "REED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "12994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Moore
• Robert Montgomery Moore, MHR, LPC
• Sarah Nicole Moore, PH.D.
• Sasha Moore
• Stefany Sue Moore, FNP-C
• Jody Lynn Moreno, C-PRSS
• Camille Morgan, MS- CCC SLP
• Christine Denise Morgan, D.PH
• Katherine Morgan
• Marsena C Morgan

• Pharmacist in Norman, OK
• Providers in Norman, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.