Active NPI
Ray Moore
- Pharmacist
- Yuma, AZ
National Provider Identifier
1922339886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5680
- Practice address
- 11420 S Fortuna Rd
Yuma, AZ 85367-5618 - Phone
- (928) 342-1034
- Fax
- (928) 342-1053
- NPI assigned
- Jan 15, 2010
- Last updated
- Jan 15, 2010
- 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 | 5680 | AZ | Primary |
Addresses
Primary practice location
11420 S Fortuna Rd
Yuma, AZ 85367-5618
Mailing address
11420 S Fortuna Rd
Yuma, AZ 85367-5618
Phone (928) 342-1034
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1922339886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11420 S FORTUNA RD",
"city": "YUMA",
"state": "AZ",
"postal_code": "853675618",
"telephone_number": "928-342-1034",
"fax_number": "928-342-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 S FORTUNA RD",
"city": "YUMA",
"state": "AZ",
"postal_code": "853675618",
"telephone_number": "928-342-1034",
"fax_number": "928-342-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "RAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-15",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "5680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.