Organization Active NPI

Moores Pharmacy LLC

  • Community/Retail Pharmacy
  • Birmingham, AL
National Provider Identifier
1952489460
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112873 Issued in AL
Legal business name
MOORES PHARMACY LLC
Doing business as
MOORES PHARMACY
Practice address
3041 Ensley 5 Points W Ave Ste D
Birmingham, AL 35208-2719
Phone
(205) 785-4223
Fax
(205) 785-4225
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Reginald Moore, BS
Title
Owner Pharmacist
Phone
(205) 907-3840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 112873 AL Primary

Addresses

Primary practice location

3041 Ensley 5 Points W Ave Ste D
Birmingham, AL 35208-2719

Mailing address

3041 Ensley 5 Points W Ave Ste D
Birmingham, AL 35208-2719
Phone (205) 785-4223

Other identifiers 2

IdentifierTypeStateIssuer
100003748MedicaidAL
1995953OtherPK

Other names 1

  • MOORES PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moores Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3041 Ensley 5 Points W Ave
Ste D
Birmingham, AL 35208
Phone (205) 785-4223

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1952489460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ENSLEY 5 POINTS W AVE STE D",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352082719",
            "telephone_number": "205-785-4223",
            "fax_number": "205-785-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 ENSLEY 5 POINTS W AVE STE D",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352082719",
            "telephone_number": "205-785-4223",
            "fax_number": "205-785-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "205-907-3840",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003748",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOORES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.