Active NPI
Von R Moore, PHARM.D.
- Pharmacist
- Marion, IN
National Provider Identifier
1972514636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26019902A
- Practice address
- 1700 E 38TH St
VA Nihcs Pharmacy Department
Marion, IN 46953-4568 - Phone
- (765) 674-3321
- Fax
- (765) 677-5158
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 26019902A | IN | Primary |
Addresses
Primary practice location
1700 E 38TH St
VA Nihcs Pharmacy Department
Marion, IN 46953-4568
Mailing address
1700 E 38TH St
Nihcs Pharmacy Department
Marion, IN 46953-4568
Phone (765) 674-3321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26019902A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1972514636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E 38TH ST",
"address_2": "NIHCS PHARMACY DEPARTMENT",
"city": "MARION",
"state": "IN",
"postal_code": "469534568",
"telephone_number": "765-674-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E 38TH ST",
"address_2": "VA NIHCS PHARMACY DEPARTMENT",
"city": "MARION",
"state": "IN",
"postal_code": "469534568",
"telephone_number": "765-674-3321",
"fax_number": "765-677-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "VON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019902A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.