Active NPI
Stephanie Adele Moore, PHARM.D, R.PH
- Pharmacist
- Rossville, GA
National Provider Identifier
1962083923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44348
- Practice address
- 785 Chickamauga Ave
Rossville, GA 30741-1477 - Phone
- (706) 866-1220
- NPI assigned
- Apr 20, 2021
- Last updated
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 44348 | TN | Primary |
Addresses
Primary practice location
785 Chickamauga Ave
Rossville, GA 30741-1477
Mailing address
6708 St Clair Way
Hixson, TN 37343-7500
Phone (817) 690-0125
Other practice location 1
4062 Hixson Pike
Chattanooga, TN 37415-3110
Phone (423) 877-3568
Other practice location 2
5032 Ooltewah Ringgold Rd Ste 100
Ooltewah, TN 37363-7091
Phone (423) 396-6963
Other names 1
- Stephanie Adele Fuchshuber
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44348 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1962083923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6708 ST CLAIR WAY",
"city": "HIXSON",
"state": "TN",
"postal_code": "373437500",
"telephone_number": "817-690-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 CHICKAMAUGA AVE",
"city": "ROSSVILLE",
"state": "GA",
"postal_code": "307411477",
"telephone_number": "706-866-1220"
}
],
"practiceLocations": [
{
"address_1": "4062 Hixson Pike",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374153110",
"country_code": "US",
"telephone_number": "423-877-3568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5032 Ooltewah Ringgold Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Ooltewah",
"state": "TN",
"postal_code": "373637091",
"country_code": "US",
"telephone_number": "423-396-6963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "STEPHANIE",
"middle_name": "ADELE",
"credential": "PHARM.D, R.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "44348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "FUCHSHUBER",
"middle_name": "ADELE",
"credential": "PHARM.D, R.PH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rossville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.