LARRY MOORE (NPI# 1396915211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396915211 |
| Entity Type | Individual |
| Full Name | LARRY MOORE |
| Practice Address |
1060 Wood Stream Dr Grand Prairie TX 75052-8837 |
| Practice Telephone | 4693719740 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
| 1013517150 | Larry La Vaughn Moore | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2020-10-28 |
| 1730658196 | Larry Gene Moore | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2018-11-15 |
| 1558609032 | Larry Moore | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2013-01-18 |
| 1891899308 | Larry Eugene Moore | Nurse Anesthetist, Certified Registered | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-09-13 |
| 1326097494 | Larry Alan Moore | Emergency Medicine | 3205 N Academy Blvd, Suite 160, Colorado Springs, CO 80917-5101 | 2006-05-08 |
| 1992773022 | Larry J. Moore | Dentist | 4200 Chino Hills Pkwy, #805, Chino Hills, CA 91709-3776 | 2006-03-14 |
| 1770553174 | Larry C Moore | Internal Medicine | 5308 North Galloway Ave, Suite 100, Mesquite, TX 75150 | 2006-01-26 |
| Street Address |
1060 WOOD STREAM DR |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-8837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800842 | Arsalan Ahmed | Pharmacy Technician | 1801 Addington Dr, Carrollton, TX 75007-3009 | 2020-10-29 |
| 1104433119 | Waleska Sanchez Ojeda | Pharmacy Technician | 1902 Windward Dr Apt D, Killeen, TX 76543-8900 | 2020-09-24 |
| 1093334369 | Jose De Jesus Arellano Delgadillo | Pharmacy Technician | 3810 Hatwig Flds, Converse, TX 78109-3583 | 2020-04-15 |
| 1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
| 1669007480 | Ursula Henry | Pharmacy Technician | 2656 S Loop W Ste 255, Houston, TX 77054-2698 | 2020-03-12 |
| 1861024341 | Kaytlynn Flowers | Pharmacy Technician | 514 South Oklahoma Cutoff, Burkburnett, TX 76354 | 2020-02-12 |
| 1275164881 | Trevor William Price | Pharmacy Technician | 401 W 39th St Apt 210, Austin, TX 78751-4928 | 2020-02-01 |
| 1760013619 | Fabrice Lionel Pougoue Ngomsi | Pharmacy Technician | 12041 Dessau Rd Apt 2309, Austin, TX 78754-1729 | 2020-01-30 |
| 1841821766 | Paige Alana Travillion | Pharmacy Technician | 1521 Augusta Bend Dr, Hutto, TX 78634-5274 | 2020-01-29 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
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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.