JESSICA MOORE (NPI# 1619504982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619504982 |
| Entity Type | Individual |
| Full Name | JESSICA MOORE |
| Credential | PHARMD |
| Practice Address |
700 Highway 29 N Athens GA 30601-1544 |
| Practice Telephone | 7067153740 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH029191 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1578185773 | Jessica Moore | Counselor | 1143 White Pine Ct, Cincinnati, OH 45255-4747 | 2020-05-11 |
| 1225669310 | Jessica Moore | Student in an Organized Health Care Education/Training Program | 1800 W 35th St, Austin, TX 78703-1323 | 2020-01-28 |
| 1083269559 | Jessica M Moore | Physician Assistant | Clements University Hospital 6201 Harry Hines Blvd, Dallas, TX 75390-6413 | 2019-08-01 |
| 1053873489 | Jessica Moore | Counselor | 550 Pinetown Rd Ste 150, Fort Washington, PA 19034-2612 | 2019-04-04 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1790167773 | Jessica Moore | Counselor | 3445 Dethman Ridge Road, Hood River, OR 97031 | 2015-06-25 |
| 1912324484 | Jessica Moore | Psychologist | 1286 S Linden Rd Ste B, Flint, MI 48532-3457 | 2014-03-24 |
| 1992148688 | Jessica Renee Moore | Psychiatry & Neurology | 6363 Forest Park Rd 7th Flste 749, Dallas, TX 75390-7708 | 2013-04-11 |
| Street Address |
700 HIGHWAY 29 N |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1770181273 | Joseph Merritt Elder | Pharmacist | 700 Highway 29 N, Athens, GA 30601-1544 | 2020-10-15 |
| 1407479827 | Arvin Salmasi | Pharmacy Technician | 700 Highway 29 N, Athens, GA 30601-1544 | 2020-05-20 |
| 1255735239 | Tlc of Georgia LLC | Nurse Practitioner | 700 Highway 29 N, Athens, GA 30601-1544 | 2014-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| 1275751448 | Athens Neighborhood Health Center Inc | Clinic/Center | 402 Mckinley Drive, Athens, GA 30601 | 2007-04-23 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
| 1164947123 | Ketan Trivedi | Pharmacist | 1086 Baxter Street, Athens, GA 30606 | 2017-08-10 |
| 1770181273 | Joseph Merritt Elder | Pharmacist | 700 Highway 29 N, Athens, GA 30601-1544 | 2020-10-15 |
| 1710585203 | Kevin Burwinkel | Pharmacist | 919 E State St, Athens, OH 45701-2117 | 2020-10-15 |
| 1013515717 | Thomas Eades | Pharmacist | 2301 College Station Rd, Athens, GA 30605-6609 | 2020-10-14 |
| 1932717907 | Breanna Duff | Pharmacist | 919 E State St, Athens, OH 45701-2117 | 2020-07-16 |
| 1043845449 | Kevin Donald Hammond | Pharmacist | 1720 Epps Bridge Pkwy, Athens, GA 30606-6132 | 2020-03-05 |
| 1700416088 | Ryan Pinney | Pharmacist | 2301 College Station Rd, Athens, GA 30605-6609 | 2020-01-25 |
| 1659901924 | Karen Mccall | Pharmacist | 1720 Epps Bridge Pkwy, Athens, GA 30606-6132 | 2020-01-24 |
| 1083254437 | Allison Michelle Beckum | Pharmacist | 191 Alps Rd, Athens, GA 30606-4093 | 2020-01-14 |
| Find all providers in ATHENS | ||||
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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.