Mooreco

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

01086/01.1 Issued in MS

Legal business name

MOORECO

Practice address

1700 Terry Rd
Jackson, MS 39204-3907

Phone

(601) 355-2438

Fax

(601) 948-0418

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry M Perry

Title

RPH

Phone

(601) 355-2438

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942392717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TERRY RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043907",
            "telephone_number": "601-355-2438",
            "fax_number": "601-948-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TERRY RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043907",
            "telephone_number": "601-355-2438",
            "fax_number": "601-948-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORECO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "601-355-2438",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MS",
            "license": "01086/01.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033278",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakari Moore
• Shanna Moore, LCSW
• Shannon Monique Moore, PHD
• Steven Patrick Moore, RPT
• Walter Thomas Moore, MD
• Carolina Morales
• Catherine Coleman Mordecai, FNP-C
• More Convenient Care Center LLC
• Eliseu Da Cruz Moreira Jr., MD
• Tiffany N. Moreira, RPH

• Preferred Provider Organization in Jackson, MS
• Providers in Jackson, MS by specialty
• Preferred Provider Organization in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.