Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265779102 Individual Practitioner Female Practitioner

Shannon Renee Moore

Pharmacist • Thomasville, GA

Professional Overview & Biography Verified Profile Summary

Shannon Moore is a registered healthcare professional specializing in Pharmacist in Thomasville, GA. Practice services are available at 13775 US 19 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13775 Us 19 S

Thomasville, GA 317925398

Telephone 2292286419
Fax 2292694422
Associated Practice Facility / Clinic
🏢 Publix Super Markets Inc Facility NPI 1285886895

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Thomasville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
46 Specialists

Practicing in Thomasville, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH020367

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1245718626

Doctor of Pharmacy (Pharm.D.)

NPI 1427496728

Doctor of Pharmacy (Pharm.D.)

NPI 1730551276

Doctor of Pharmacy (Pharm.D.)

NPI 1922346402

Registered Pharmacist

NPI 1982145751

Doctor of Pharmacy (Pharm.D.)

Caleb Norman

Pharmacist

NPI 1992257893

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 26, 2024

Registered at 13775 US 19 S, THOMASVILLE, GA 317925398 (Tel: 2292286419)

👤
Provider Name / Credentials Updated September 26, 2024

Recorded as SHANNON MOORE

📍
Updated Practice Location August 11, 2020

Registered at 3330 INNER PERIMETER RD, VALDOSTA, GA 31602 (Tel: 2296719840)

📍
Updated Business Mailing Address August 11, 2020

Registered at 3330 INNER PERIMETER RD, VALDOSTA, GA 31602 (Tel: 2296719840)

👤
Provider Name / Credentials Updated August 11, 2020

Recorded as SHANNON KNIGHT

NPI Profile Active January 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2013

Registered at 1601 HWY 40 E, KINGSLAND, GA 315486500 (Tel: 9127291457)

📍
Updated Business Mailing Address January 11, 2013

Registered at 1601 HWY 40 E, KINGSLAND, GA 315486500 (Tel: 9127291457)

👤
Provider Name / Credentials Updated January 11, 2013

Recorded as SHANNON MEEMKEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2013

Pharmacist (License #RPH020367 in GA)

🟢
Initial NPI Registration & Enumeration January 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265779102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2013
Last Update: September 26, 2024
Sole Proprietor: No

Mailing Address

3330 Inner Perimeter Rd

Valdosta, GA 31602

Phone: 2296719840

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.