MOORE DRUG STORE, INC. (NPI# 1700867918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700867918 |
| Entity Type | Organization |
| Organization Name | MOORE DRUG STORE, INC. |
| Other Organization Name | MOORE'S HOME HEALTH AND MEDICAL SUPPLY |
| Practice Address |
1206 N Baldwin Ave Marion IN 46952-2534 |
| Mailing Address |
608 W Markland Ave Ste A Kokomo IN 46901-6110 |
| Practice Telephone | 7657330140 |
| Practice Fax Number | 7657330141 |
| Mailing Telephone | 7654545210 |
| Mailing Fax Number | 7654545209 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | MS. SARAH ELIZABETH COTNER (VICE-PRESIDENT) |
| Authorized Official Telephone | 7654545210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Moore's Home Health and Medical Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978083 | Moore Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 608 W Markland Ave, Ste A, Kokomo, IN 46901-6110 | 2005-11-07 |
| 1851372049 | Moore Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 909 S Courtland Ave, Kokomo, IN 46901-5359 | 2005-11-07 |
| Street Address |
1206 N BALDWIN AVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1891043717 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3495 7th Ave, Marion, IA 52302-3735 | 2012-08-27 |
| 1073883880 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3820 S Western Ave, Marion, IN 46953-4901 | 2012-01-10 |
| 1063716728 | Loving Hands Solutions | Durable Medical Equipment & Medical Supplies | 223 N Mcneely Rd, Marion, AR 72364-9603 | 2011-01-10 |
| 1689801524 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1040 Delaware Ave Ste A, Marion, OH 43302-6416 | 2009-06-18 |
| 1306087820 | Sam's West Inc | Durable Medical Equipment & Medical Supplies | 2709 Walton Way, Marion, IL 62959-4901 | 2009-03-12 |
| 1477731800 | Micheal L Hutchcraft | Durable Medical Equipment & Medical Supplies | 928 W Main St, Marion, IL 62959-1840 | 2008-02-07 |
| 1306022322 | Southern Illinois Surgical Appliance Company | Durable Medical Equipment & Medical Supplies | 8305 Express Dr. C, Marion, IL 62959-6359 | 2008-01-22 |
| 1457534125 | Marion Family Optometrists, Inc. | Durable Medical Equipment & Medical Supplies | 506 S Washington St, Marion, IN 46953-1961 | 2007-12-17 |
| 1730362617 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 330 N Wabash Ave Ste 100, Marion, IN 46952-2677 | 2007-12-13 |
| Find all providers in MARION | ||||
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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.