Individual provider Active NPI

Angela Barnes Moore, RPH

  • Pharmacist
  • Valley, AL
National Provider Identifier
1902943640
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12288 Issued in AL
Practice address
4103 20TH Ave
Valley, AL 36854-3448
Phone
(334) 756-2037
Fax
(334) 756-9024
NPI assigned
Jan 31, 2007
Reactivated
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12288 AL Primary

Addresses

Primary practice location

4103 20TH Ave
Valley, AL 36854-3448

Mailing address

4103 20TH Ave
Valley, AL 36854-3448
Phone (334) 756-2037

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Pharmacy & DME of East Alabama Inc Current Accepting new patients
Valley Pharmacy & DME of East Alabama Inc Current Accepting new patients
John Minter Current Accepting new patients

Locations

4103 20th Ave
Valley, AL 36854
Phone (334) 756-2037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1902943640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 20TH AVE",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543448",
            "telephone_number": "334-756-2037",
            "fax_number": "334-756-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 20TH AVE",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543448",
            "telephone_number": "334-756-2037",
            "fax_number": "334-756-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANGELA",
        "middle_name": "BARNES",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "deactivation_date": "2012-05-29",
        "reactivation_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.