Active NPI
Drax James Moore, RPH
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1891592101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26030774A
- Practice address
- 8375 E 96TH St
Indianapolis, IN 46256-1014 - Phone
- (317) 585-2410
- NPI assigned
- Feb 26, 2025
- 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 | 26030774A | IN | Primary |
Addresses
Primary practice location
8375 E 96TH St
Indianapolis, IN 46256-1014
Mailing address
457 Pintail Way
Pendleton, IN 46064-6416
Phone (765) 610-7346
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 |
|---|---|---|---|
| 26030774A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1891592101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 PINTAIL WAY",
"city": "PENDLETON",
"state": "IN",
"postal_code": "460646416",
"telephone_number": "765-610-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8375 E 96TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561014",
"telephone_number": "317-585-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DRAX",
"middle_name": "JAMES",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26030774A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.