Allen Michael Moore, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S022238 Issued in AZ

Practice address

10727 W. Olive Ave.
Youngtown, AZ 85363

Phone

(623) 815-8074

NPI assigned

Oct 31, 2016

Last updated

Oct 31, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1992257539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21973 N 102ND LN LOT 411",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832693",
            "telephone_number": "623-866-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 W. OLIVE AVE.",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "85363",
            "telephone_number": "623-815-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALLEN",
        "middle_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Burns, M D P C
• Andre E Matthews, LPCC
• Agatha Meeks
• David M Mengel, C.P.D.
• Lisa Marie Miller, OTR/L
• Hoang Diep Thi Nguyen, FNP-C
• Joel Justin Nichols, D.M.D., M.H.A.
• Laura Nichols, DMD, MHS-HIA
• Alexian B Onyenso, PHARMD
• Athena M. Parmenter, PHARM.D.

• Pharmacist in Youngtown, AZ
• Providers in Youngtown, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.