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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | P3855 | ID | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | STATE LICENSE NO | P3855 | 01 |
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 |
Street Address |
720 16TH AVE |
City | LEWISTON |
State | ID |
Zip Code | 83501-3768 |
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 |
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 |
Find all providers in zip 83501 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
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] |
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 |
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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.