DR. TRACEY LYNN MOORE (NPI# 1548371073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548371073 |
| Entity Type | Individual |
| Full Name | DR. TRACEY LYNN MOORE |
| Credential | PHARM. D. |
| Practice Address |
5684 Moonstone Loop Se Salem OR 97306-3517 |
| Practice Telephone | 5033622627 |
| Mailing Telephone | 5033622627 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
0008651 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491311 | Tracey D Moore | Registered Nurse | 1124 Cameron St, Ansley, NE 68814-0370 | 2019-08-06 |
| 1780850438 | Tracey Moore | Counselor | 1227 Hwy 77, Suite 2, Marion, AR 72364 | 2008-05-02 |
| 1164069860 | Tracey Lee Moore | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163-2703 | 2019-12-02 |
| 1184105090 | Tracey Moore | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2018-08-28 |
| 1730329962 | Tracey Renee Moore | Licensed Practical Nurse | 830 Ezzard Charles Dr, Cincinnati, OH 45214 | 2009-02-27 |
| 1487783635 | Tracey L. Moore | Pharmacy Technician | 1010 W Columbia St, Farmington, MO 63640-2902 | 2007-03-05 |
| 1144363854 | Tracey Rae Moore | Counselor | 619 N Main St, Muskogee, OK 74401-4431 | 2007-02-14 |
| 1720188022 | Tracey D. Moore | Nurse Practitioner | 214 E 23rd St, Cheyenne Regional Medical Center, Emergency Dept., Cheyenne, WY 82001-3748 | 2006-09-25 |
| Street Address |
5684 MOONSTONE LOOP SE |
| City | SALEM |
| State | OR |
| Zip Code | 97306-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
| 1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
| 1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
| 1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
| 1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
| 1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
| Find all providers in zip 97306 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142942 | Michael Paul Kelly | Pharmacist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2005-05-27 |
| 1811369994 | Matthew Tanner | Pharmacist | 890 Oak St Se, Salem, OR 97301-3905 | 2015-10-28 |
| 1114214806 | Emily Hall Agnew | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2011-07-01 |
| 1134358831 | Lindsay Paige Smith | Pharmacist | 1970 Roanoke Blvd # 119, Salem, VA 24153-6404 | 2009-07-02 |
| 1285809293 | Joseph Schnabel | Pharmacist | 890 Oak St Se, Salem, OR 97301-3905 | 2008-04-30 |
| 1881781722 | John Robert Lester | Pharmacist | 3750 Chemawa Rd Ne, Salem, OR 97305-1111 | 2006-10-10 |
| 1861452674 | Martha Anne Mcdearmon | Pharmacist | 1970 Roanoke Blvd, Veterans Affairs Medical Center Salem (119), Salem, VA 24153-6404 | 2006-03-24 |
| 1396705513 | Mark Nathaniel Adams | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-03-23 |
| 1346209988 | Danny R. Huff | Pharmacist | 1970 Roanoke Blvd, (119), Salem, VA 24153-6404 | 2006-03-22 |
| 1548257843 | Francine Ann Farnsworth | Pharmacist | 1970 Roanoke Blvd, Pharmacy (119), Salem, VA 24153-6404 | 2005-10-02 |
| Find all providers in SALEM | ||||
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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.