DR. PHILIP BRETT MOORE (NPI# 1619431517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619431517 |
| Entity Type | Individual |
| Full Name | DR. PHILIP BRETT MOORE |
| Credential | DOCTOR OF PHARMACY |
| Practice Address |
200 American Blvd W Bloomington MN 55420-1120 |
| Mailing Address |
863 23rd Ave Se Minneapolis MN 55414-2607 |
| Practice Telephone | 9528886079 |
| Practice Fax Number | 9528886095 |
| Mailing Telephone | 8143166898 |
| Mailing Fax Number | 9528886095 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 121058 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE PHARMACY LICENSE | 121058 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396906640 | Philip W Moore | Emergency Medicine | 207 House Ave Ste 102, Camp Hill, PA 17011-2308 | 2008-06-19 |
| 1104877414 | Philip A Moore | Internal Medicine | 1551 Bond St, Suite 127, Naperville, IL 60563-0137 | 2006-05-12 |
| 1477524734 | Philip Frederic Moore | Marriage & Family Therapist | 38790 Sky Canyon Dr, Murrieta, CA 92563-2537 | 2006-01-26 |
| 1154802205 | Philip Moore | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-08-27 |
| 1699793075 | Philip C Moore | Anesthesiology | 805 Pamplico Hwy, Florence, SC 29505-6019 | 2006-07-17 |
| 1053346817 | Philip Alan Moore | Surgery | 1600 Lancaster Dr, Suite 103, Grapevine, TX 76051-3579 | 2006-07-11 |
| Street Address |
200 AMERICAN BLVD W |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356368757 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 200 American Blvd W, Bloomington, MN 55420-1120 | 2006-07-16 |
| 1265032593 | Tien Vuong | Pharmacist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2020-10-27 |
| 1801494547 | Nunmoula Mazhari | Pharmacist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2020-10-14 |
| 1730460387 | Jason Layne Goetsch | Hearing Instrument Specialist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2011-09-08 |
| 1841439015 | Marti Ellen Sandwick | Pharmacist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2009-02-12 |
| 1215024724 | Sam's Club Optical | Technician/Technologist | 200 American Blvd W, Bloomington, MN 55420-1120 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| 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 |
|---|---|---|---|---|
| 1558980813 | Ambika Soni | Pharmacist | 2103 N Veterans Pkwy Unit 3, Bloomington, IL 61704-0908 | 2020-04-15 |
| 1548805104 | Jasjeet Singh Waraitch | Pharmacist | 2650 S Walnut St, Bloomington, IN 47401-7302 | 2019-11-07 |
| 1740791250 | Sara Vande Walle | Pharmacist | 8400 Normandale Lake Blvd Ste 700, Bloomington, MN 55437-3810 | 2017-10-24 |
| 1487171682 | Brenden James King | Pharmacist | 645 S Rogers St Ste C, Bloomington, IN 47403-2353 | 2017-08-28 |
| 1356897391 | Brittany Ann Oliver | Pharmacist | 800 N Smith Rd, Apt G11, Bloomington, IN 47408-2928 | 2016-08-30 |
| 1073987152 | Christopher Bennett | Pharmacist | 48 Pebblebrook Ct, Bloomington, IL 61705-6300 | 2015-11-30 |
| 1912374505 | Alphonsus M Brady | Pharmacist | 2510 E Washington St, Apt #13, Bloomington, IL 61704-4447 | 2015-08-31 |
| 1376928853 | Cory Patterson | Pharmacist | 2104 Hackberry Rd, Bloomington, IL 61704-2788 | 2015-07-24 |
| 1689062671 | Lester Burris II | Pharmacist | 2424 S Walnut St, Bloomington, IN 47401-7730 | 2014-12-30 |
| 1053718510 | Dhaval H Patel | Pharmacist | 2001 S Morris Ave, 16, Bloomington, IL 61704-7293 | 2014-11-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on DR. PHILIP BRETT MOORE.
| 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.