Clay W. Moore, D.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

10054 Issued in OK

Practice address

11101 Hefner Pointe Dr Ste 101
Oklahoma City, OK 73120-5054

Phone

(405) 850-5571

NPI assigned

Feb 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meridian Pharmacy Management Inc

  • Community/Retail Pharmacy
  • Oklahoma City, OK
  • NPI 1821014655
  NPD Authorized official

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1972060366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 HEFNER POINTE DR STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205054",
            "telephone_number": "405-850-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 HEFNER POINTE DR STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205054",
            "telephone_number": "405-850-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CLAY",
        "middle_name": "W.",
        "credential": "D.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "10054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100245800A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Ann Moore
• Charles Edward Moore II, LPC
• Chasity Moore, LCSW
• Chestina Moore
• Chinyere Moore
• Deborah Moore, L.D.
• Deborah Jean Moore
• Derek Alan Moore
• Dominique Michelle Moore
• Elizabeth Ann Moore, MA, LADC-MH

• Pharmacist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.