TRACEY L. MOORE (NPI# 1487783635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487783635 |
| Entity Type | Individual |
| Full Name | TRACEY L. MOORE |
| Practice Address |
1010 W Columbia St Farmington MO 63640-2902 |
| Mailing Address |
302 W Sycamore St Desloge MO 63601-3412 |
| Practice Telephone | 5732186792 |
| Practice Fax Number | 5732186762 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 2000145209 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491311 | Tracey D Moore | Registered Nurse | 1124 Cameron St, Ansley, NE 68814-0370 | 2019-08-06 |
| 1780850438 | Tracey Moore | Counselor | 1227 Hwy 77, Suite 2, Marion, AR 72364 | 2008-05-02 |
| 1548371073 | Tracey Lynn Moore | Pharmacist | 5684 Moonstone Loop Se, Salem, OR 97306-3517 | 2006-08-31 |
| 1164069860 | Tracey Lee Moore | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163-2703 | 2019-12-02 |
| 1184105090 | Tracey Moore | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2018-08-28 |
| 1730329962 | Tracey Renee Moore | Licensed Practical Nurse | 830 Ezzard Charles Dr, Cincinnati, OH 45214 | 2009-02-27 |
| 1144363854 | Tracey Rae Moore | Counselor | 619 N Main St, Muskogee, OK 74401-4431 | 2007-02-14 |
| 1720188022 | Tracey D. Moore | Nurse Practitioner | 214 E 23rd St, Cheyenne Regional Medical Center, Emergency Dept., Cheyenne, WY 82001-3748 | 2006-09-25 |
| Street Address |
1010 W COLUMBIA ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114909801 | Michael James Mccarver | Pharmacist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2005-11-17 |
| 1437768025 | Taylor Cook | Dietitian, Registered | 1010 W Columbia St, Farmington, MO 63640-2902 | 2020-07-29 |
| 1265846307 | Jamie Barton | Pharmacist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2014-06-17 |
| 1285050526 | Joshua Herwig | Nurse Practitioner | 1010 W Columbia St, Farmington, MO 63640-2902 | 2014-03-11 |
| 1447671052 | Jacquelyn Kathleen Rudolph | Pharmacist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2013-12-27 |
| 1912206087 | Ismar Karadzic | Pharmacist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2011-03-15 |
| 1902104177 | Mark Aaron Anderson | Pharmacist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2011-03-11 |
| 1568779189 | Michael Martin Luther Krownapple | Psychologist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2010-09-02 |
| 1629308002 | Gary L Thomas | Pharmacist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2010-01-06 |
| 1245566611 | Thomas Stanley Finley I | Dentist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2009-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1952918039 | Randa Abo-shasha | Pharmacy Technician | 23354 Farmington Rd, Farmington, MI 48336-3102 | 2020-09-23 |
| 1952430134 | Peggy I. Minghi | Pharmacy Technician | 1010 W Columbia St, Farmington, MO 63640-2902 | 2007-03-05 |
| 1821127069 | Marian E. Gross | Pharmacy Technician | 1010 W Columbia St, Farmington, MO 63640-2902 | 2007-03-05 |
| 1033248299 | Linda D. Russell | Pharmacy Technician | 1010 W Columbia St, Farmington, MO 63640-2902 | 2007-03-05 |
| 1174609762 | Bridget Stark | Pharmacy Technician | 4164 National Pike, Farmington, PA 15437-1344 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418983 | Kelsey Houk | Pharmacy Technician | 932 Mcpherson St, Trenton, MO 64683-2261 | 2020-05-12 |
| 1861940967 | Luke Beatty | Pharmacy Technician | 2310 Bent Tree Ct, Saint Joseph, MO 64506-2400 | 2016-09-17 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164704193 | Barbara R Klazynski-martin | Pharmacy Technician | 13897 Corporate Woods Trl, Bridgeton, MO 63044-1291 | 2011-09-15 |
| 1124329214 | Nicholas Lee Farrar | Pharmacy Technician | 2004 Mccausland Ave, Saint Louis, MO 63143-2536 | 2010-11-05 |
| 1891017356 | Debbie Lynn Haines | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1497910707 | Robert Louis Tillman | Pharmacy Technician | 915 N Grand Ave, St. Louis, MO 63106 | 2008-07-25 |
| 1336342310 | Denise Jean Keys | Pharmacy Technician | 5300 Arsenal St., St. Louis, MO 63139-1463 | 2007-06-07 |
| 1104982388 | Tiffany Gregory | Pharmacy Technician | 600 N Springfield St, Saint James, MO 65559-9505 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.