MR. RUSSELL T MOORE (NPI# 1962673848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962673848 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL T MOORE |
| Credential | PHARM. D. |
| Practice Address |
339 9th Ave Sw Lafayette AL 36862-2803 |
| Practice Telephone | 3348647781 |
| Practice Fax Number | 3348640096 |
| Mailing Telephone | 3348647781 |
| Mailing Fax Number | 3348640096 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14177 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578956124 | Russell Moore | Pharmacist | 20 Duke Medicine Cir # 5-1, Durham, NC 27710-2000 | 2015-03-06 |
| 1578525184 | Russell Ernest Moore | Dentist | 111 Industrial Park Rd, Johnstown, PA 15904-1940 | 2006-04-06 |
| 1609169648 | Russell M Moore | Internal Medicine | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2011-05-24 |
| 1982881306 | Russell Adrian Moore | Anesthesiology | 633 Sunset Ln, Culpeper, VA 22701-3942 | 2008-01-28 |
| 1982815395 | Russell Keith Moore | Physical Therapist | 9601 Interstate 630 Exit 7, Physical Therapy, Little Rock, AR 72205-7202 | 2007-05-25 |
| Street Address |
339 9TH AVE SW |
| City | LAFAYETTE |
| State | AL |
| Zip Code | 36862-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649324088 | Lowes Pharmacy Inc | Pharmacy | 339 9th Ave Sw, Lafayette, AL 36862-2803 | 2007-01-23 |
| 1922300292 | Lowes Pharmacy LLC | Pharmacy | 339 9th Ave Sw, Lafayette, AL 36862-2803 | 2010-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356530372 | Central Alabama Comprehensive Health, Inc. | Clinic/Center | 404b 9th Ave S.w., Lafayette, AL 36862 | 2007-10-16 |
| 1104962083 | Kelly A Tucker | Speech-Language Pathologist | 909 W. Alabama Ave., Lafayette, AL 36862 | 2007-01-29 |
| 1275640633 | Donald H Busby Dmd PC | Dentist | 134 1st St Se, Lafayette, AL 36862 | 2006-08-23 |
| 1861420408 | Lafayette Nursing Home LLC | Skilled Nursing Facility | 555 B Street, Lafayette, AL 36862-0109 | 2006-06-30 |
| 1528169216 | City of Lafayette Ems | Ambulance | 56 2nd Ave Sw, Lafayette, AL 36862-1945 | 2006-09-26 |
| 1760550321 | City of Lafayette | Ambulance | 56 2nd Ave Sw, Lafayette, AL 36862-1945 | 2006-12-01 |
| 1871863936 | Lafayette Chiropractic | Chiropractor | 10 2nd Ave Se, Lafayette, AL 36862-2021 | 2012-01-06 |
| 1497837421 | Roger Vines LLC | Ambulance | 211 B St, Lafayette, AL 36862-2095 | 2006-10-19 |
| 1790824696 | Chambers County Board of Education | Local Education Agency (LEA) | 202 1st Ave Se, Lafayette, AL 36862-2102 | 2007-02-06 |
| 1396806121 | Terry Yvonne Vester | Family Medicine | 140 1st St Se, Lafayette, AL 36862-2304 | 2006-12-13 |
| Find all providers in zip 36862 | ||||
| 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 |
|---|---|---|---|---|
| 1396390613 | Patience Bergeron | Pharmacist | 118 Keelingwood Ln, Lafayette, LA 70507-3254 | 2019-08-04 |
| 1659924439 | Le Nguyen | Pharmacist | 620 Guilbeau Rd Ste A, Lafayette, LA 70506-8709 | 2019-07-19 |
| 1730731969 | Kevin Lagrange | Pharmacist | 107 Kentville Cir, Lafayette, LA 70508-6458 | 2019-07-09 |
| 1750857926 | Spree Chisley | Pharmacist | 103 Glasgow Dr, Lafayette, LA 70508-7050 | 2018-10-15 |
| 1780162586 | Chelsie Morein Head | Pharmacist | 1630 Rue Du Belier Apt 301, Lafayette, LA 70506-6549 | 2018-08-02 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1205349784 | Natalie Schwartzel | Pharmacist | 987 S Creasy Ln, Lafayette, IN 47905-4800 | 2017-11-07 |
| 1114439320 | Angelle Marie Voinche | Pharmacist | 5000 Ambassador Caffery Pkwy Bldg 3 Ste B, Lafayette, LA 70508-6984 | 2017-10-27 |
| 1245680743 | Kaleab Alamrew | Pharmacist | 1701 Ambassador Caffery Pkwy, Lafayette, LA 70506-2803 | 2016-06-15 |
| 1003285677 | Philip Asare | Pharmacist | 2517 Kaliste Saloon Rd, Lafayette, LA 70508 | 2015-09-24 |
| Find all providers in LAFAYETTE | ||||
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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.