JOHN RUSSELL MOORE (NPI# 1255829222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255829222 |
| Entity Type | Individual |
| Full Name | JOHN RUSSELL MOORE |
| Credential | RPH |
| Practice Address |
1626 Highway 12 S Ashland City TN 37015-3322 |
| Practice Telephone | 6157927720 |
| Practice Fax Number | 6157925346 |
| Mailing Telephone | 6157927720 |
| Mailing Fax Number | 6157925346 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4906 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
| 1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
| 1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
| 1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
| 1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
| 1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
| 1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
| 1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
| Street Address |
1626 HIGHWAY 12 S |
| City | ASHLAND CITY |
| State | TN |
| Zip Code | 37015-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790719151 | Daniel James Burt | Optometrist | 1626 Highway 12 S, Ashland City, TN 37015-3304 | 2006-07-10 |
| 1679062889 | Stanley D. Hicks | Pharmacist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2018-05-02 |
| 1891283610 | Janet Gerges | Pharmacist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2018-04-26 |
| 1578051538 | Hecseliz Figueroa | Pharmacist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2018-04-25 |
| 1801392758 | Ronald Wade Crowson Sr. | Pharmacist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2018-03-31 |
| 1841605375 | Music City Eye Care LLC | Optometrist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2014-06-23 |
| 1225289234 | Rebecca Maria Norris | Optometrist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2008-10-08 |
| 1962420703 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044198 | Mary B Beasley | Psychologist | 1080 Little Marrowbone Rd, Ashland City, TN 37015 | 2019-10-09 |
| 1043709934 | Randi Danielle Hull | Licensed Practical Nurse | 162 John Mayfield Dr, Ste 200, Ashland City, TN 37015 | 2018-05-07 |
| 1760922850 | Krystle Deal | Nurse Practitioner | 150 Hutton Place, Ashland City, TN 37015 | 2017-03-08 |
| 1578926879 | Rehabcare Group East, LLC | Clinic/Center | 2035 Vantage Pointe, Ashland City, TN 37015 | 2016-04-04 |
| 1700127396 | Phonethip Thepsiri | Counselor | 162 County Services Drive, Suite, Ashland City, TN 37015 | 2013-03-07 |
| 1376774497 | Frances Marie Ball | Physical Therapy Assistant | 111 Pemberton Drive, Hillcrest Healthcare Center, Ashland City, TN 37015 | 2009-08-06 |
| 1629291356 | Stephen M Kaufman | Dentist | 202 C Main Street, Ashland City, TN 37015 | 2007-04-11 |
| 1528124484 | County of Cheatham | Ambulance | 3455 Bell Street, Ashland City, TN 37015 | 2006-12-28 |
| 1730264300 | Wal-mart Stores East, Lp | Technician/Technologist | 1626 St. Route 12 So., Ashland City, TN 37015 | 2006-10-25 |
| 1700997483 | Charles Mark Hendricks | Chiropractor | 112 North Main, Ashland City, TN 37015 | 2006-08-31 |
| Find all providers in zip 37015 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267761 | Alexis Blake Monteleone | Pharmacist | 315 S Main St, Ashland City, TN 37015-1507 | 2020-08-26 |
| 1407467319 | Peter Gameel | Pharmacist | 315 S Main St, Ashland City, TN 37015-1507 | 2020-08-13 |
| 1679062889 | Stanley D. Hicks | Pharmacist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2018-05-02 |
| 1891283610 | Janet Gerges | Pharmacist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2018-04-26 |
| 1578051538 | Hecseliz Figueroa | Pharmacist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2018-04-25 |
| 1801392758 | Ronald Wade Crowson Sr. | Pharmacist | 1626 Highway 12 S, Ashland City, TN 37015-3322 | 2018-03-31 |
| 1023536315 | Chase Thomas Hunnell | Pharmacist | 212 N Main St, Ashland City, TN 37015-1305 | 2017-09-06 |
| 1427502871 | Rachel Dorsey | Pharmacist | 655 S Main St, Ashland City, TN 37015-1403 | 2016-08-14 |
| 1720453368 | Tyson Henderson | Pharmacist | 655 S Main St, Ashland City, TN 37015-1403 | 2015-12-08 |
| 1649653403 | Andrew Kenneth Hicks | Pharmacist | 655 S Main St, Ashland City, TN 37015-1403 | 2015-06-29 |
| Find all providers in ASHLAND CITY | ||||
| City | ASHLAND CITY |
| Zip Code | 37015 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.