MOORE MEDICAL CENTER (NPI# 1558582387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558582387 |
| Entity Type | Organization |
| Organization Name | MOORE MEDICAL CENTER |
| Practice Address |
700 S Telephone Rd Moore OK 73160-2502 |
| Practice Telephone | 4057939355 |
| Practice Fax Number | 4059123531 |
| Mailing Telephone | 4057939355 |
| Mailing Fax Number | 4059123531 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID D WHITAKER (PRESIDENT & CEO) |
| Authorized Official Telephone | 4053071051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
7-5154 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE PHARMACY LICENSE | 7-5154 | 01 |
| Street Address |
700 S TELEPHONE RD |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009075 | Senthil K Raju | Family Medicine | 700 S Telephone Rd, Moore, OK 73160-2502 | 2005-08-10 |
| 1588262240 | Brian Michael | Social Worker | 700 S Telephone Rd, Moore, OK 73160-2550 | 2020-10-15 |
| 1568085504 | Osu Center for Health Sciences | Clinic/Center | 700 S Telephone Rd, Moore, OK 73160-2502 | 2020-05-26 |
| 1992338776 | Bruce Allan Rau | Occupational Therapist | 700 S Telephone Rd, Moore, OK 73160-2550 | 2020-02-19 |
| 1275179939 | Christina Zitzow | Occupational Therapist | 700 S Telephone Rd, Moore, OK 73160-2550 | 2019-11-18 |
| 1972148740 | Karinda Polk | Physical Medicine & Rehabilitation | 700 S Telephone Rd, Moore, OK 73160-2550 | 2019-11-15 |
| 1831734052 | Kimberly Cusher | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2550 | 2019-11-12 |
| 1508317041 | Stacy Hyden | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2502 | 2016-10-19 |
| 1275081127 | Anna Tooman | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2502 | 2016-09-20 |
| 1023566114 | John Do | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2502 | 2016-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811229966 | Us Dept of Justice | Pharmacy | 4205 E Highway 66, El Reno, OK 73036-9701 | 2010-01-31 |
| 1710174107 | Northwest Center for Behavioral Health | Pharmacy | 1 Mi E Hwy 270, Fort Supply, OK 73841-0001 | 2007-09-28 |
| 1992134852 | Mercy Hospital Ada Pharmacy | Pharmacy | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-11-01 |
| 1528383841 | Shadow Mountain Behavioral Health System, LLC | Pharmacy | 1027 E 66th Pl, Tulsa, OK 74136-3701 | 2010-03-30 |
| 1235346479 | Tulsa Spine & Specialty Hospital Pharmacy | Pharmacy | 6901 S Olympia Ave, Tulsa, OK 74132 | 2007-05-17 |
| 1518028380 | Jackson County Memorial Hosp Phcy | Pharmacy | 1200 E Pecan St, Altus, OK 73521-6141 | 2006-12-13 |
| 1437226917 | Owasso Medical Facility LLC | Pharmacy | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-11-29 |
| 1285727446 | State of Oklahoma Office of State Finance | Pharmacy | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2006-10-02 |
| 1285739045 | Norman Regional Hospital | Pharmacy | 901 N Porter, Norman, OK 73071-6404 | 2006-09-14 |
Please comment or provide details below to improve the information on MOORE MEDICAL CENTER.
| 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.