DR. NICOLE MARIE MOORE (NPI# 1659547743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659547743 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MARIE MOORE |
| Credential | PHARM.D. |
| Practice Address |
7719 Main St Fogelsville PA 18051-1600 |
| Practice Telephone | 6103910922 |
| Practice Fax Number | 6103910513 |
| Mailing Telephone | 6103910922 |
| Mailing Fax Number | 6103910513 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP441828 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235795618 | Nicole Susan Moore | Marriage & Family Therapist | 2716 Wilshire Blvd, Santa Monica, CA 90403-4706 | 2019-05-11 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1578004867 | Nicole Moore | Counselor | 821 Delaware Ave Sw, Unit A, Washington, DC 20024-4207 | 2017-03-20 |
| 1659826766 | Nicole E. Moore | Counselor | 12307 Elk Meadow Dr, Stafford, TX 77477-2297 | 2016-08-18 |
| 1477946986 | Nicole Moore | Registered Nurse | 2063 Buchtel St, Twinsburg, OH 44087-2052 | 2015-03-07 |
| 1750788188 | Nicole Moore | Nurse Practitioner | 22 S Greene St Ste S10b00, Baltimore, MD 21201-1544 | 2014-12-01 |
| 1164828950 | Nicole Moore | Social Worker | 18831 E 58th Ave, Unit C, Denver, CO 80249-8353 | 2014-11-06 |
| 1023393832 | Nicole Moore | Pharmacist | 1008 Summit Blvd, Frisco, CO 80443 | 2011-10-13 |
| 1164726097 | Nicole Moore | Social Worker | 123 E Century Blvd, Los Angeles, CA 90003-4709 | 2011-01-06 |
| 1326292335 | Nicole E Moore | Speech-Language Pathologist | 10 Reid Ln, Millstone Township, NJ 08535-8142 | 2008-11-05 |
| Street Address |
7719 MAIN ST |
| City | FOGELSVILLE |
| State | PA |
| Zip Code | 18051-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154610509 | Kyona Nason | Pharmacist | 7719 Main St, Fogelsville, PA 18051-1600 | 2011-04-06 |
| 1841589488 | Mark Michael Sukal | Pharmacist | 7719 Main St, Fogelsville, PA 18051-1600 | 2011-04-05 |
| 1396043915 | Marcy Lynn Krill | Pharmacist | 7719 Main St, Fogelsville, PA 18051-1600 | 2011-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659926046 | Kathryn M Kalman | Pharmacist | 7801 Gelnlivet Dr W, Fogelsville, PA 18051 | 2019-08-03 |
| 1003386061 | Jeanne Marie Kuchta | Pharmacist | 7801 Glenlivet Drive West, Fogelsville, PA 18051 | 2018-12-03 |
| 1134679178 | Julie Boyson | Physician Assistant | 1431 Nursery St Ste 101a, Fogelsville, PA 18051 | 2016-10-13 |
| 1518211135 | Weis Markets Inc | Pharmacy | 7801 Glenlivet West Drive, Fogelsville, PA 18051 | 2012-11-05 |
| 1114069796 | Brookhaven Center for Counseling and Development | Psychologist | 2307 Cove Road, Fogelsville, PA 18051 | 2007-02-12 |
| 1689761082 | David W Daley Do PC | Psychiatry & Neurology | 7729 Main Street, Fogelsville, PA 18051 | 2006-10-06 |
| 1033145271 | Robert Michael Taxin | Family Medicine | 7619 Tilghman St, Fogelsville, PA 18051 | 2006-06-22 |
| 1417901588 | Linda Sue Critzer | Registered Nurse | 7918 Main Street, Suite #204, Fogelsville, PA 18051 | 2006-05-21 |
| 1679039556 | St Luke's Physician Group Inc | Obstetrics & Gynecology | 1251 Turnstone Drive, Suite 230, Fogelsville, PA 18051 | 2019-02-15 |
| 1306257514 | Rinehart Family Eye Care PC | Optometrist | 7801 Glenlivet West Drive, Suite D, Fogelsville, PA 18051 | 2014-05-12 |
| Find all providers in zip 18051 | ||||
| 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 |
|---|---|---|---|---|
| 1659926046 | Kathryn M Kalman | Pharmacist | 7801 Gelnlivet Dr W, Fogelsville, PA 18051 | 2019-08-03 |
| 1003386061 | Jeanne Marie Kuchta | Pharmacist | 7801 Glenlivet Drive West, Fogelsville, PA 18051 | 2018-12-03 |
| 1689144073 | Joanne Kalman | Pharmacist | 7801 Glenlivet West Dr, Fogelsville, PA 18051-1738 | 2018-11-28 |
| 1154610509 | Kyona Nason | Pharmacist | 7719 Main St, Fogelsville, PA 18051-1600 | 2011-04-06 |
| 1841589488 | Mark Michael Sukal | Pharmacist | 7719 Main St, Fogelsville, PA 18051-1600 | 2011-04-05 |
| 1396043915 | Marcy Lynn Krill | Pharmacist | 7719 Main St, Fogelsville, PA 18051-1600 | 2011-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | FOGELSVILLE |
| Zip Code | 18051 |
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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.