MR. RANDALL R MOORE


Address: 720 16th Ave, Lewiston, ID 83501-3768
Phone: 2087435528

MR. RANDALL R MOORE (NPI# 1669537304) 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) 1669537304
Entity Type Individual
Full Name MR. RANDALL R MOORE
Credential RPH
Practice Address 720 16th Ave
Lewiston
ID 83501-3768
Mailing Address 19054 Pine Ridge Ln
Lewiston
ID 83501-5274
Practice Telephone 2087435528
Practice Fax Number 2087462785
Mailing Telephone 2087985293
Enumeration Date 2006-12-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist P3855 ID Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID STATE LICENSE NO P3855 01

Other Providers RANDALL MOORE

NPI Name Taxonomy Address Enumeration
1457421877 Randall B. Moore Chiropractor 260 S 112th St, Lafayette, CO 80026-9031 2006-11-09
1740368067 Randall Alan Moore Pharmacist The Nebraska Medical Center Clinic Pharmacy, 989200 Nebraska Medical Center, Omaha, NE 68198-9200 2006-11-02
1992780597 Randall Jay Moore Preventive Medicine 366mdg/sgpf, 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648 2005-12-07
1790245496 Randall Edward Moore Registered Nurse 2250 Soquel Ave, Santa Cruz, CA 95062-1402 2019-03-20
1013386945 Randall Moore Dentist 141 Milbank Ave, Greenwich, CT 06830-6616 2015-09-22
1376721621 Randall James Moore Pharmacist 4405 Vandever Ave, 1st Fl Pharmacy, San Diego, CA 92120-3315 2008-02-07
1598894073 Randall Chris Moore Physical Therapist 500 London Ave, Marysville, OH 43040-5512 2007-03-02
1841351285 Randall Moore Family Medicine 6760 Mission Rd, Everson, WA 98247-9749 2006-12-12
1205927274 Randall B Moore Surgery 3791 Katella Ave, #201, Los Alamitos, CA 90720 2006-09-27
1245291228 Randall F. Moore Psychiatry & Neurology 2401 S 31st St, Temple, TX 76508-0001 2006-03-30

Office Location

Street Address 720 16TH AVE
City LEWISTON
State ID
Zip Code 83501-3768

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689768145 Chastains Incorporated Pharmacy 720 16th Ave, Suite 2, Lewiston, ID 83501-3768 2006-10-02
1366573917 Brook Marie Gehring Pharmacist 720 16th Ave, Lewiston, ID 83501-3768 2007-03-07
1326109679 Brian Morgan Auer Pharmacist 720 16th Ave, Suite 1, Lewiston, ID 83501-3768 2006-12-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295111631 Ryan Terrence O'laughlin Pharmacist 481 Morgan Dr, Lewiston, NY 14092-1014 2015-08-08
1477939593 Robert Alan Mayer Pharmacist 3020 6th St # A, Lewiston, ID 83501-4653 2015-07-31
1447636535 Dexter Peele Pharmacist 320 Piney Woods Rd, Lewiston, NC 27849-9204 2015-07-30
1861754459 Christina M Hammond Pharmacist 710 Burrell Ave, Lewiston, ID 83501-4985 2012-06-11
1982965513 Sharon J Wood Pharmacist 274 Reservoir Dr, Lewiston, ID 83501-9637 2012-05-30
1457617508 Mark Mitchell Mouzakis Pharmacist 2855 S County Road 489, Lewiston, MI 49756-8155 2012-04-03
1194001230 Scott Mason Eustis Pharmacist 166 Old Webster Rd, Lewiston, ME 04240-1513 2011-11-02
1992080964 Bobbi J Heitstuman Pharmacist 332 Thain Rd, Lewiston, ID 83501-5337 2011-10-20
1124329651 Richard Byron Robertson Pharmacist 2330 Nez Perce Dr, Lewiston, ID 83501-4107 2010-11-15
1821306200 Lynsey Janelle Plummer Pharmacist 987 Lisbon St, Lewiston, ME 04240-5747 2010-09-19
Find all providers in LEWISTON

Competitor

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City LEWISTON
Zip Code 83501

Improve Information

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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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