DONALD RAYMOND MOORE (NPI# 1477154664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477154664 |
| Entity Type | Individual |
| Full Name | DONALD RAYMOND MOORE |
| Credential | PHARM. D |
| Practice Address |
4810 North St Nacogdoches TX 75965-1876 |
| Mailing Address |
3743 Tudor Dr Nacogdoches TX 75965-5817 |
| Practice Telephone | 9365641158 |
| Practice Fax Number | 9365641035 |
| Mailing Telephone | 9366454836 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
31926 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811159932 | Donald Michael Moore | Home Health Aide | 10002 Waving Fields Dr, Houston, TX 77064-4430 | 2008-06-30 |
| 1801070537 | Donald D Moore II | Speech-Language Pathologist | 722 S Broad St, Clayton, NJ 08312-2132 | 2007-12-17 |
| 1518175009 | Donald F. Moore | Chiropractor | 215 Perry Ave, Dothan, AL 36303-2535 | 2007-05-18 |
| 1134256829 | Donald Thomas Moore | Psychologist | 8271 Melrose Avenue #102, Los Angeles, CA 90046 | 2007-02-28 |
| 1619030624 | Donald A Moore | Dentist | 7715 Old Hammond Hwy, Baton Rouge, LA 70809-1224 | 2006-12-19 |
| 1417050683 | Donald E Moore | General Practice | 41 Eastern Pkwy, Suite 1b, Brooklyn, NY 11238-5934 | 2006-09-06 |
| 1235133562 | Donald Halstead Moore | Emergency Medicine | 1097 Fledderjohn Rd, Ste 1, Charleston, WV 25314 | 2005-06-01 |
| 1710483417 | Donald Lee Moore Jr. | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2018-04-02 |
| 1497910079 | Donald R Moore | Counselor | 5470 Chene St, Detroit, MI 48211-2746 | 2008-07-23 |
| 1124237870 | Donald G Moore | Pharmacist | 3500 Ne 24th Ave, Amarillo, TX 79107-6920 | 2007-05-21 |
| Street Address |
4810 NORTH ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572933 | Jacqueline La-shawn Pierre | Optometrist | 4810 North St, Nacogdoches, TX 75965 | 2006-01-17 |
| 1083214100 | Ralph Donald Ballard | Pharmacist | 4810 North St, Nacogdoches, TX 75965-1876 | 2020-10-28 |
| 1780243097 | King Vision LLC | Optometrist | 4810 North St, Nacogdoches, TX 75965-1876 | 2019-06-10 |
| 1184946287 | Jessica A Baxter | Optometrist | 4810 North St, Suite 20/20, Nacogdoches, TX 75965-1876 | 2010-02-17 |
| 1073694436 | Wal-mart Stores Texas, Lp | Technician/Technologist | 4810 North St, Nacogdoches, TX 75965-1876 | 2006-10-18 |
| 1821015090 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 4810 North St, Nacogdoches, TX 75965-1876 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453147 | Kaden Del Ridley | Pharmacist | 1300 S Coulter St Ste 203, Amarillo, TX 79106-1712 | 2020-09-25 |
| 1275143968 | Kristen M. Clancy | Pharmacist | 9723 Charter Ridge Dr, Houston, TX 77070-1907 | 2020-08-06 |
| 1235778887 | Kimberly Kay Lane | Pharmacist | 200 Saddletree Rd, Shavano Park, TX 78231-1543 | 2019-12-30 |
| 1427601319 | Ruth S Smith | Pharmacist | 5807 Sw 45th Ave, Amarillo, TX 79109-5205 | 2019-07-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1750940664 | Anne-cecile Mingle | Pharmacist | 209 N Water St, Corpus Christi, TX 78401-2528 | 2019-06-13 |
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1467964809 | Telfia Yvette Muckeroy | Pharmacist | 5787 S Hampton Rd # 230b, Dallas, TX 75232-2255 | 2017-10-25 |
| 1164944013 | Lizette Bunn | Pharmacist | 4647 Medical Dr # Ms 102-1, San Antonio, TX 78229-4403 | 2017-07-12 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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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.