MOORE DRUG STORE INC (NPI# 1598848541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598848541 |
| Entity Type | Organization |
| Organization Name | MOORE DRUG STORE INC |
| Other Organization Name | MOORE DRUG INC |
| Practice Address |
101 W Main Ringling OK 73456 |
| Mailing Address |
Po Box 566 Ringling OK 73456-0566 |
| Practice Telephone | 5806622366 |
| Practice Fax Number | 5806622966 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | TOM HILDEBRANT (OWNER) |
| Authorized Official Telephone | 5806622366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
63-5964 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100239450A | 05 | |
| PK | 2073235 | 01 |
| Other Name | Type Code |
|---|---|
| MOORE DRUG INC | Doing Business As Name - Organization |
| Street Address |
101 W MAIN |
| City | RINGLING |
| State | OK |
| Zip Code | 73456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740357011 | Mercy Health Network of The Southern Region, Inc. | Internal Medicine | 103 W Main, Ringling, OK 73456 | 2006-11-29 |
| 1164479408 | Gregory Raymond Favorite | Physician Assistant | 103 W Main Street, Ringling, OK 73456 | 2006-05-30 |
| 1942737374 | Kimberly Davis | Nurse Practitioner | 108 S 5th St, Ringling, OK 73456 | 2017-05-16 |
| 1700323870 | Duncan Regional Hospital Inc | Clinic/Center | 108 S. 5th Street, Ringling, OK 73456-0096 | 2017-01-26 |
| 1427076074 | Jefferson County Healthcare Authority | Clinic/Center | 502 South 6th Street, Ringling, OK 73456-0096 | 2006-07-18 |
| 1811226152 | William Steve Rapier | Counselor | 320 S 4th, Ringling, OK 73456-0364 | 2009-12-16 |
| 1962682104 | Tara Miranda Lewis | Physician Assistant | 108 S 5th St, Ringling, OK 73456-6124 | 2007-11-05 |
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
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|---|---|---|---|---|
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| 1104451095 | Oklahoma Specialty Pharmacy,llc | Pharmacy | 13921 N Meridian Ave Ste 102, Oklahoma City, OK 73134-1103 | 2020-03-11 |
| 1437797248 | Oxford Pharmacy LLC | Pharmacy | 6001 S Sooner Rd Ste B, Oklahoma City, OK 73135-5601 | 2019-12-12 |
| 1952946022 | The Children's Center, Inc. | Pharmacy | 6770 Nw 39th Expy, Bethany, OK 73008-2646 | 2019-11-13 |
| 1174179154 | Lone Grove Pharmacy LLC | Pharmacy | 45 Almond Dr, Ardmore, OK 73401-2405 | 2019-08-14 |
| 1063068385 | Murray Drug Co. LLC | Pharmacy | 316 North Main St, Granite, OK 73547 | 2019-08-13 |
| 1962063933 | Walgreen Co | Pharmacy | 1145 S Utica Ave Ste G1, Tulsa, OK 74104-4022 | 2019-06-21 |
| 1760040943 | Neighborhood Pharmacy,llc | Pharmacy | 3122 N May Ave, Oklahoma City, OK 73112-6942 | 2019-06-03 |
| 1811553423 | Sequoyah County Drug Company Pllc | Pharmacy | 806 Campbell Rd Ste B, Warner, OK 74469-5008 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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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.