ALICIA C MOORE (NPI# 1023143583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023143583 |
| Entity Type | Individual |
| Full Name | ALICIA C MOORE |
| Practice Address |
19219 Ridgelake Dr Lutz FL 33549-8204 |
| Practice Telephone | 8139090609 |
| Practice Fax Number | 8138740709 |
| Mailing Telephone | 8139090609 |
| Mailing Fax Number | 8138740709 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS0026108 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356683148 | Alicia Shereese Moore | Counselor | 9027 Grouse Run Ln, Fayetteville, NC 28314-6120 | 2013-03-20 |
| 1083960090 | Alicia Rose Moore | Specialist | 1150 E 93rd St, Brooklyn, NY 11236-3743 | 2012-07-27 |
| 1144599523 | Alicia Brooke Moore | Registered Nurse | 16152 Windham, Fraser, MI 48026-2042 | 2011-12-14 |
| 1629363452 | Alicia Jessica Moore | Dentist | 12520 Prosperity Dr Ste 300, Silver Spring, MD 20904 | 2011-06-09 |
| 1679116776 | Alicia Moore | Social Worker | 140 Michigan Ave W, Battle Creek, MI 49017-3602 | 2019-10-21 |
| 1194293654 | Alicia Moore | Home Health Aide | 2700 E. Sunset Rd., #17 Bldg B, Las Vegas, NV 89120-3508 | 2018-11-02 |
| 1003396425 | Alicia Moore | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-08-15 |
| 1598254062 | Alicia Chaynel Moore | Dentist | 6532 Reisterstown Rd, Baltimore, MD 21215 | 2018-05-09 |
| 1184125544 | Alicia M Moore | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-02-21 |
| 1114465721 | Alicia Ann Moore | Case Manager/Care Coordinator | 6100 S Walker Ave, Oklahoma City, OK 73139-7026 | 2017-02-02 |
| Street Address |
19219 RIDGELAKE DR |
| City | LUTZ |
| State | FL |
| Zip Code | 33549-8204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901189 | Keri L Freeman | Counselor | 1550 Michelin Court, Lutz, FL 33549 | 2020-01-23 |
| 1699335794 | Michaela C Elza | Behavior Technician | 18288 Us-41 S, Lutz, FL 33549 | 2019-06-19 |
| 1760923437 | Behavior Modification Solutions Aba, LLC | Behavioral Analyst | 1941 Crape Myrtle Loop, 205, Lutz, FL 33549 | 2017-03-15 |
| 1417497157 | Donna Ford | Counselor | 1511 Michelin Court, Lutz, FL 33549 | 2017-02-28 |
| 1376957985 | Absolute Pharmacy, LLC | Pharmacy | 16011 N. Nebraska Ave, Suite 103, Lutz, FL 33549 | 2014-06-12 |
| 1144568544 | Christine Cook | Speech-Language Pathologist | 16102 N. Florida Ave., Tampa, FL 33549 | 2013-01-21 |
| 1174803001 | Jennifer Marie Martinc | Occupational Therapy Assistant | 16102 N. Florida Avenue, Lutz, FL 33549 | 2011-08-23 |
| 1871741975 | Joseph J. Ferrandino | Counselor | 16120 N. Florida Ave., Lutz, FL 33549 | 2008-09-03 |
| 1588835011 | Priti Nmi Bapna | Dentist | 1528 Land O'lakes Blvd, Suite 101, Lutz, FL 33549 | 2008-03-12 |
| 1831382381 | Denise N Sarco-stipe | Speech-Language Pathologist | 16102 N. Florida Ave, Suite 910, Lutz, FL 33549 | 2007-08-18 |
| Find all providers in zip 33549 | ||||
| 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 |
|---|---|---|---|---|
| 1124676879 | Nicholas Micciche | Pharmacist | 1621 Papoose Way, Lutz, FL 33559-8673 | 2019-08-27 |
| 1083142657 | Kalee Sullivan | Pharmacist | 18901 Hwy 54, Lutz, FL 33558-5268 | 2017-05-26 |
| 1982145090 | Charles Kershaw Smith | Pharmacist | 803 Brantenburg Way, Lutz, FL 33548-7934 | 2017-03-09 |
| 1609262765 | Leticia Rivera | Pharmacist | 2407 Silver Forrest Ln, Lutz, FL 33549-3793 | 2015-04-15 |
| 1073905360 | Polly Marcone | Pharmacist | 18626 Le Dauphine Pl, Lutz, FL 33558-2885 | 2015-02-24 |
| 1245620632 | Tamara Ibrahim | Pharmacist | 14905 Deer Meadow Drive, Lutz, FL 33559 | 2015-01-23 |
| 1013325703 | Maria Rivera | Pharmacist | 1707 Curry Rd, Lutz, FL 33549-7024 | 2014-07-26 |
| 1710319967 | Jefrey I Fleming | Pharmacist | 2313 Forrest Crest Cir, Lutz, FL 33549-3776 | 2013-07-30 |
| 1235571589 | Anthony Richards | Pharmacist | 1419 Kensington Woods Dr, Lutz, FL 33549-3882 | 2013-07-26 |
| 1801237334 | John A Jensen Jr. | Pharmacist | 19141 Golden Cacoon Pl, Lutz, FL 33558-9061 | 2013-07-12 |
| Find all providers in LUTZ | ||||
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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.