DR. CAROL LYNN MOORE (NPI# 1851731368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851731368 |
| Entity Type | Individual |
| Full Name | DR. CAROL LYNN MOORE |
| Credential | PHARMD, BCPS, BCACP |
| Practice Address |
2799 W Grand Blvd Cfp-519 Detroit MI 48202-2608 |
| Practice Telephone | 3139160777 |
| Practice Fax Number | 3139162554 |
| Mailing Telephone | 3139160777 |
| Mailing Fax Number | 3139162554 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302033156 | MI | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302033156 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033668033 | Carol Moore | Registered Nurse | 1199 Seneca Rd, Bloomsburg, PA 17815-9500 | 2016-10-02 |
| 1629456132 | Carol Marshea Moore | Case Manager/Care Coordinator | 502 Sw 38th St, Lawton, OK 73505 | 2015-05-15 |
| 1760707384 | Carol Therese Moore | Occupational Therapist | 1908 Coolidge Ave, Willow Grove, PA 19090-3017 | 2010-04-07 |
| 1114254380 | Carol E Moore | Counselor | 914 S 8th St # S131, Minneapolis, MN 55404-1210 | 2009-11-10 |
| 1801856927 | Carol J Moore | Podiatrist | 11308 Distinctive Dr, Orland Park, IL 60467-9459 | 2006-03-24 |
| 1326025156 | Carol E Moore | Specialist | 2828 Maplewood Ave, Suite B, Winston Salem, NC 27103-4138 | 2005-12-22 |
| 1487263075 | Carol Moore | Technician | 218 3rd St, Elkins, WV 26241-3833 | 2020-07-29 |
| 1578194163 | Carol A Moore | Pharmacist | 1025 Saint Clair River Dr, Algonac, MI 48001-1457 | 2020-01-31 |
| 1912433830 | Carol Moore | Counselor | 1555 Meadowview Dr, Suite 5, Danville, VA 24541-7351 | 2017-05-11 |
| 1073942868 | Carol Moore | Speech-Language Pathologist | 300 Sw 7th St, Renton, WA 98057-2307 | 2013-11-02 |
| Street Address |
2799 W GRAND BLVD CFP-519 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1265099600 | Isidro II Inc | Pharmacist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-05-21 |
| 1639637135 | Bassam Harati | Pharmacist | 14470 Livernois Ave, Detroit, MI 48238-2005 | 2019-03-04 |
| 1336626654 | Kyle Weslosky | Pharmacist | 4646 John R Road, Detroit, MI 48201 | 2018-07-20 |
| 1174009872 | Lauren Depietro | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2018-07-16 |
| 1346619772 | Kelly Saha | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2015-09-16 |
| 1477938538 | Ryan Timothy Kuhn | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2015-07-29 |
| 1023417490 | John Dilodovico | Pharmacist | 2799 W Grand Blvd, W-1018, Detroit, MI 48202-2608 | 2014-08-21 |
| 1972902443 | Amber Lanae Smith | Pharmacist | 259 Mack Ave, Detroit, MI 48201-2427 | 2014-08-20 |
| 1447688155 | Arin Jantz | Pharmacist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-10-16 |
| 1104252659 | Trisann Rendulic | Pharmacist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-09-16 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on DR. CAROL LYNN MOORE.
| 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.