Organization Active NPI

Donald D Moore Pharmacy Inc

  • Pharmacy
  • Cincinnati, OH
National Provider Identifier
1942294509
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
020186100 Issued in OH
Legal business name
DONALD D MOORE PHARMACY INC
Practice address
4486 W 8TH St
Cincinnati, OH 45238-4926
Phone
(513) 921-0020
Fax
(513) 921-4448
NPI assigned
Sep 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Donald David Moore, RPH
Title
Pres.
Phone
(513) 921-0020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0491132 OH
Pharmacy 333600000X 020186100 OH Primary

Addresses

Primary practice location

4486 W 8TH St
Cincinnati, OH 45238-4926

Mailing address

4486 W 8TH St
Cincinnati, OH 45238-4926
Phone (513) 921-0020

Other identifiers 1

IdentifierTypeStateIssuer
0491132MedicaidOH

Other names 1

  • Moore Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4486 W 8th St
Cincinnati, OH 45238
Phone (513) 921-0020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1942294509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 W 8TH ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384926",
            "telephone_number": "513-921-0020",
            "fax_number": "513-921-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4486 W 8TH ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384926",
            "telephone_number": "513-921-0020",
            "fax_number": "513-921-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD D MOORE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "513-921-0020",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "0491132",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "020186100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0491132",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.