Active NPI
Marlaine Moore
- Pharmacist
- Spokane Valley, WA
National Provider Identifier
1902106792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10965
- Practice address
- 1441 N Argonne Rd
Spokane Valley, WA 99212-2685 - Phone
- (509) 921-8032
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- 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 | 10965 | WA | Primary |
Addresses
Primary practice location
1441 N Argonne Rd
Spokane Valley, WA 99212-2685
Mailing address
616 S Liberty Cir
Liberty Lake, WA 99019-9726
Phone (509) 255-9155
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10965 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1902106792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 S LIBERTY CIR",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990199726",
"telephone_number": "509-255-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N ARGONNE RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122685",
"telephone_number": "509-921-8032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MARLAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "10965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.