HEATHER LERAE MOORE (NPI# 1619578812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619578812 |
| Entity Type | Individual |
| Full Name | HEATHER LERAE MOORE |
| Practice Address |
589 Hwy West 92 Williamsburg KY 407690 |
| Mailing Address |
589 Hwy West 92 Williamsburg KY 40769 |
| Mailing Telephone | 6065494087 |
| Mailing Fax Number | 6065490683 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 011498 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434919 | Heather Helen Moore | Counselor | 1650 Broadway Fl 2, Bethlehem, PA 18015-3998 | 2020-07-17 |
| 1184267957 | Heather Moore | Counselor | 7060 Nw 47th Pl, Lauderhill, FL 33319-3408 | 2019-10-23 |
| 1265943872 | Heather Moore | Technician | 124 Karen St, Washington, WV 26181-3574 | 2017-10-23 |
| 1497107841 | Heather Moore | Occupational Therapist | 2640 Boleyn Dr, Colorado Springs, CO 80920-5380 | 2016-07-11 |
| 1619367448 | Heather Mitchell Moore | Nutritionist | 8909 Victory Ln, Potomac, MD 20854-3647 | 2015-02-02 |
| 1174938500 | Heather Marie Moore | Dentist | 101 W. Cascade Way Suite 202, Cascade Dental Care, Spokane, WA 99208-6016 | 2014-06-24 |
| 1346562311 | Heather A Moore | Behavioral Analyst | 6301 Campus Circle Drive East, Behavioral Innovations Suite 100a, Irving, TX 75063 | 2010-02-18 |
| 1801127840 | Heather Moore | Social Worker | 323 E 27th St, Loveland, CO 80538-3203 | 2010-01-14 |
| 1255516845 | Heather Lynn Moore | Social Worker | 3020 S Florida Ave Ste 301a, Lakeland, FL 33803-4054 | 2008-01-02 |
| 1902935224 | Heather Lynn Moore | Pharmacist | 4 Newark Rd, Mount Vernon, OH 43050-4113 | 2007-03-04 |
| Street Address |
589 HWY WEST 92 |
| City | WILLIAMSBURG |
| State | KY |
| Zip Code | 407690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1730710724 | Heidi Marie Zwick | Specialist/Technologist | 6790 College Station Drive, Williamsburg, KY 40769 | 2020-01-29 |
| 1841764271 | Dayspring Health Inc | Clinic/Center | 640 West Highway 92, Williamsburg, KY 40769 | 2019-01-18 |
| 1649713728 | William Linscomb | Specialist/Technologist | 207 Circle Ave Apt8, Williamsburg, KY 40769 | 2016-11-22 |
| 1881137883 | Ashley Konrad | Specialist/Technologist | 6790 College Station Dr, Williamsburg, KY 40769 | 2016-11-22 |
| 1053680421 | Michael C Culver | Veterinarian | 319 Tackett Creek Rd, Williamsburg, KY 40769 | 2011-12-14 |
| 1942586060 | Smith and Brown Family Dentistry | Dentist | 821 S Hwy 25w, Williamsburg, KY 40769 | 2011-11-03 |
| 1346537271 | Kayla Fields | Dentist | 640 W Highway 92, Williamsburg, KY 40769 | 2011-06-29 |
| 1407154800 | Jellico Community Hospital, Inc | Nurse Practitioner | 998 South Highway 25w, Willaimsburg, KY 40769 | 2011-03-09 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| Find all providers in zip 40769 | ||||
| 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 |
|---|---|---|---|---|
| 1083178172 | Henry Kyle Ranger | Pharmacist | 4205 Cavendish Ct, Williamsburg, VA 23188-1468 | 2019-01-23 |
| 1548779010 | Jackson Layne Chappell | Pharmacist | 115 Norge Ln, Williamsburg, VA 23188-7230 | 2017-09-27 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1891148474 | Sarah Tucker | Pharmacist | 153 Allyson Dr, Williamsburg, VA 23188-1702 | 2016-07-19 |
| 1295197291 | Jean Logue | Pharmacist | 1303 Jamestown Rd Ste 11, Williamsburg, VA 23185-3407 | 2016-03-28 |
| 1215316724 | Kevin Bluxome | Pharmacist | 4419 Lydias Dr, Williamsburg, VA 23188-2823 | 2015-05-29 |
| 1992109516 | Justin Martin | Pharmacist | 5601 Richmond Rd, Williamsburg, VA 23188-1985 | 2014-10-09 |
| 1285044719 | Shawn Michael Husband | Pharmacist | 4900 M 72 E, Williamsburg, MI 49690-9455 | 2014-05-06 |
| 1437571825 | Kenneth Albert Letchworth | Pharmacist | 3012 E Brittington, Williamsburg, VA 23185-8701 | 2014-01-20 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 40769 |
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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.