MOORE FAMILY STORES INC. (NPI# 1295810422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295810422 |
| Entity Type | Organization |
| Organization Name | MOORE FAMILY STORES INC. |
| Practice Address |
890 E Ridgelawn Rd Martinsville IL 62442-2551 |
| Mailing Address |
2245 W Mound Rd Decatur IL 62526-9367 |
| Practice Telephone | 2173824004 |
| Practice Fax Number | 2173823476 |
| Mailing Telephone | 2173626226 |
| Mailing Fax Number | 2173626241 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | TRENT MOORE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2173626226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054020327 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2136610 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717502 | Moore Family Stores Inc. | Pharmacy | 115 W Jefferson Ave, Effingham, IL 62401-2344 | 2006-11-16 |
| 1376554873 | Moore Family Stores Inc. | Pharmacy | 596 Oak Ave, Neoga, IL 62447-1530 | 2006-08-10 |
| 1326061284 | Moore Family Stores Inc. | Pharmacy | 104 Court House Sq, Toledo, IL 62468 | 2006-07-25 |
| 1538166137 | Moore Family Stores Inc. | Pharmacy | 202 W Edgar Ave, Casey, IL 62420-1024 | 2005-06-28 |
| Street Address |
890 E RIDGELAWN RD |
| City | MARTINSVILLE |
| State | IL |
| Zip Code | 62442-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053302240 | David P Davis | Family Medicine | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2005-11-04 |
| 1285006973 | Sarah Bush Lincoln Health Center | Clinic/Center | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2015-10-21 |
| 1215193651 | John Jackson Richards | Family Medicine | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2008-08-05 |
| 1780799254 | Rachel K Morrison | Physician Assistant | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790921674 | Martinsville Family Chiropractic Clinic Ltd | Chiropractor | 990 Ridgelawn Rd, Martinsville, IL 62442 | 2008-12-26 |
| 1063529071 | Martinsville Comm Unit School Dist 3 | Local Education Agency (LEA) | 255 West Cumberland, Martinsville, IL 62442 | 2006-08-24 |
| 1700180031 | Foster Dale Propst | Pharmacist | 890 Ridgelawn Road, Martinsville, IL 62442 | 2010-12-30 |
| 1164749503 | Terre Haute Medical Laboratory, Inc. | Clinical Medical Laboratory | 890 Ridgelawn Rd, Suite A, Martinsville, IL 62442 | 2010-04-26 |
| 1588808513 | Robert Arnold Hoagland | Chiropractor | 990 Ridgelawn Rd, Martinsvillle, IL 62442 | 2009-04-21 |
| 1861855744 | Valerie Marie Mullen | Registered Nurse | 997 N. York St., Martinsville, IL 62442-0266 | 2016-03-30 |
| 1811350697 | Cathy Hayden | Community Health Worker | 997 North York Street, Martinsville, IL 62442-0266 | 2016-03-30 |
| 1396821237 | County of Clark | Public Health or Welfare | 997 N York Street, Martinsville, IL 62442-0266 | 2006-10-31 |
| 1518291715 | Union Associated Physicians Clinic, LLC | Internal Medicine | 890 Ridgelawn Road, Martinsville, IL 62442-0399 | 2009-09-22 |
| 1841237583 | David P Davis Medicine, PC | Clinic/Center | 890 Ridgelawn Rd, Martinsville, IL 62442-0399 | 2006-06-01 |
| Find all providers in zip 62442 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1982799524 | M R Pharmacy Inc | Pharmacy | 1990 Washington Valley Rd, Martinsville, NJ 08836 | 2006-10-03 |
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| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 62442 |
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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.