RODNEY L MOORE


Address: 103 Chadwick Ave, Walnut Grove, MS 39189
Phone: 6012532599

RODNEY L MOORE (NPI# 1376633818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376633818
Entity Type Organization
Organization Name RODNEY L MOORE
Other Organization Name MOORE'S PHARMACY
Practice Address 103 Chadwick Ave
Walnut Grove
MS 39189
Mailing Address Po Box 369
Walnut Grove
MS 39189-0369
Practice Telephone 6012532599
Practice Fax Number 6012532182
Enumeration Date 2006-10-13
Last Update Date 2019-01-30
Authorized Official Name MR. RODNEY L MOORE (OWNER)
Authorized Official Telephone 6016257158
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
02381 MS Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00330046 05
MS NCPDP 2517968 01

Other Provider/Organization Names

Other Name Type Code
Moore's Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053524009 Rodney L Moore Pharmacy 16831 Hwy 21 S, Sebastopol, MS 39359 2007-05-07
1235241613 Rodney L Moore Pharmacy 811 Highway 16 E, Carthage, MS 39051-4245 2006-08-31

Office Location

Street Address 103 CHADWICK AVE
City WALNUT GROVE
State MS
Zip Code 39189

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255387619 East Central Mississippi Health Care, Inc Clinic/Center 199 Rimmer St, Walnut Grove, MS 39189 2006-05-26
1669450037 Charlie M Hardin Jr. Nurse Practitioner 110 Park Street, Walnut Grove, MS 39189 2006-01-05
1518130582 Central Medical Equipment, Inc. Durable Medical Equipment & Medical Supplies 109 Main St, Walnut Grove, MS 39189 2008-04-10
1063499002 James W. Lock Internal Medicine 199 Rimmer Street, Walnut Grove, MS 39189-0370 2005-12-30
1467625830 Vernetta P. Barton Speech-Language Pathologist 154 Truelight Rd, Walnut Grove, MS 39189-5028 2008-04-08
1376188086 Marshall Devolopmental Therapy Services Inc Behavioral Analyst 308 Estes Mill Rd, Walnut Grove, MS 39189-5043 2019-11-18
1578009155 First-line LLC Ambulance 2354 Union Rd, Walnut Grove, MS 39189-5189 2017-01-06
1326118522 Homecare Hospice Inc Registered Nurse 16482 Highway 21, Walnut Grove, MS 39189-6180 2006-11-08
1144662230 Lhcg Xlix, LLC Hospice Care, Community Based 16482 Highway 21, Walnut Grove, MS 39189-6180 2013-07-18
1295106326 Constance Wilkerson Nurse Practitioner 110 Park St, Walnut Grove, MS 39189-6526 2015-10-15
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164038485 Quinn's Family Pharmacy of Newton Pharmacy 193 Northside Dr, Newton, MS 39345-9523 2020-09-22
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1649883844 Natchez Wellness Pharmacy Pharmacy 29 Sergeant Prentiss Dr Ste 5, Natchez, MS 39120-4743 2020-08-26
1952910366 Ct Stamps Inc Pharmacy 206 Marion Avenue, Mccomb, MS 39648 2020-07-31
1114566122 Valley Drugs, Inc. Pharmacy 327b S Main St, Water Valley, MS 38965-3318 2019-12-23
1851939318 Smith Pharmacy, Inc. Pharmacy 306 Northside Drive, Newton, MS 39345 2019-12-16
1285270801 Proxsys Rx - Rush LLC Pharmacy 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 2019-11-19
1518501592 Southwest Pharmacy Inc Pharmacy 3000 Plaza Dr Ste B, Tylertown, MS 39667-9227 2019-11-01
1669015210 Hometown Family Pharmacy, Inc. Pharmacy 930 Hall St Ste H, Wiggins, MS 39577-2113 2019-10-25
1225671001 A & A Infusion & Specialty, LLC Pharmacy 124 E Jackson St, Belzoni, MS 39038-3642 2019-10-23
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Competitor

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City WALNUT GROVE
Zip Code 39189

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Dataset Information

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.

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