KIM ANN MOORE (NPI# 1801064423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801064423 |
| Entity Type | Individual |
| Full Name | KIM ANN MOORE |
| Practice Address |
2006 Hwy 35 Spring Lake NJ 07762-2543 |
| Mailing Address |
54 Overlook Dr Jackson NJ 08527-4849 |
| Practice Telephone | 7322820719 |
| Practice Fax Number | 7322829069 |
| Mailing Telephone | 7328337326 |
| Mailing Fax Number | 7328337326 |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI02876300 | NJ | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 040519 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 040519 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134628894 | Kim Lanere Moore | Technician | 1832 Jack Rabbit Way, Las Vegas, NV 89128-2633 | 2018-02-08 |
| 1164638318 | Kim Carlson Moore | Pharmacist | Harmon's Pharmacy, 37 Harrisville Road, Ogden, UT 84404 | 2007-05-15 |
| 1396139143 | Kim Ann Moore | Social Worker | 2600 Redondo Ave Fl 3, Long Beach, CA 90806-2325 | 2015-03-18 |
| 1649678186 | Kim Moore | Physical Therapy Assistant | 148 Nw 1150th Rd, Chilhowee, MO 64733-8107 | 2014-12-16 |
| 1497193841 | Kim Jean Moore | Psychologist | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2013-06-07 |
| 1568702512 | Kim Moore | Counselor | 1175 Canton St, First Floor, Roswell, GA 30075-3616 | 2013-02-27 |
| 1487916250 | Kim Marie Moore | Nurse Practitioner | 1670 E 120th St, N S Bldg Room 2c06, Los Angeles, CA 90059-3026 | 2012-06-08 |
| 1205140449 | Kim Moore | Case Manager/Care Coordinator | 1114 Yuba St, #207, Marysville, CA 95901-4838 | 2010-07-29 |
| Street Address |
2006 HWY 35 |
| City | SPRING LAKE |
| State | NJ |
| Zip Code | 07762-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008872 | Olivia Goossen | Nurse Practitioner | 2006 Hwy 35, Spring Lake, NJ 07762-2543 | 2017-08-09 |
| 1356866719 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2006 Hwy 35, Spring Lake, NJ 07762-2543 | 2017-08-07 |
| 1730555293 | Yefim Vexler | Pharmacist | 2006 Hwy 35, Spring Lake, NJ 07762-2543 | 2015-08-18 |
| 1477956209 | Tara Callaghan | Pharmacist | 2006 Hwy 35, Spring Lake, NJ 07762-2543 | 2014-10-07 |
| 1750661336 | Stephanie Gaburo | Pharmacist | 2006 Hwy 35, Spring Lake, NJ 07762-2543 | 2011-08-26 |
| 1023325578 | Stephanie Michelle Hubbard | Pharmacist | 2006 Hwy 35, Spring Lake, NJ 07762-2543 | 2010-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700214723 | Stefanie Granzin | Marriage & Family Therapist | 10 Devon Court, Spring Lake, NJ 07762 | 2013-10-30 |
| 1770747610 | Mariela J Pazos | Veterinarian | 410 Essex Ave, Spring Lake, NJ 07762 | 2008-07-10 |
| 1033384730 | Nicholas F Graziano | Dentist | 101 Rt 46 West, Saddlebrook, NJ 07762 | 2008-04-24 |
| 1427187475 | Jennifer Easton Slovak | Social Worker | 712 Wall Road, Spring Lake Heights, NJ 07762 | 2007-03-05 |
| 1265527014 | John Paul Vetovick | Dentist | 2028 Hwy 71, Spring Lake Hts, NJ 07762 | 2006-10-04 |
| 1780778357 | John Charles | Marriage & Family Therapist | 1405 Third Ave, Spring Lake, NJ 07762 | 2006-10-03 |
| 1922036367 | Phillip J Lobuono | Dermatology | 211 Highway 71, Spring Lake Heights, NJ 07762 | 2006-06-28 |
| 1962448035 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2006 State Highway 35, Springlake, NJ 07762 | 2006-06-20 |
| 1235107269 | Joseph A Duddy IIi | Dentist | 1010 Highway 71, Spring Lake Heights, NJ 07762 | 2006-03-08 |
| 1730153321 | Paul A Pardon | Internal Medicine | 512 Warren Ave., Spring Lake, NJ 07762 | 2006-02-13 |
| Find all providers in zip 07762 | ||||
| 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 |
|---|---|---|---|---|
| 1508317108 | Carlie Schuttinger | Pharmacist | 2006 Rte 35, Spring Lake, NJ 07762-2543 | 2016-10-18 |
| 1043662604 | Amber Patwell | Pharmacist | 216 Edgecombe Dr, Spring Lake, NC 28390-9160 | 2016-07-07 |
| 1992043343 | Hewis Bartels | Pharmacist | 506 Orchard Falls Dr, Spring Lake, NC 28390-7072 | 2013-01-18 |
| 1992065270 | Jeffrey W. Hill | Pharmacist | 2006 Highway 35, Spring Lake, NJ 07762-2543 | 2012-05-21 |
| 1376820761 | Jamie Gilles | Pharmacist | 512 Villag Lake Court Apt # 201, Spring Lake, NC 28390 | 2011-11-14 |
| 1730304130 | Phillip Allen Morse | Pharmacist | 603 E Savidge, Spring Lake, MI 49456 | 2007-04-13 |
| 1821125592 | Patrick Scott Karwowski | Pharmacist | 603 E Savidge St, Spring Lake, MI 49456 | 2007-02-28 |
| 1386797264 | Angela Lynn Fipps-white | Pharmacist | 6779 Overhills Road, Spring Lake, NC 28390-8873 | 2007-01-22 |
| 1205814324 | Susan J Wright | Pharmacist | 17717 174th St, Spring Lake, MI 49456 | 2006-01-09 |
| 1760092241 | Sarah Levan | Pharmacist | 670 Lillington Hwy, Spring Lake, NC 28390-2119 | 2020-08-09 |
| Find all providers in SPRING LAKE | ||||
| City | SPRING LAKE |
| Zip Code | 07762 |
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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.