Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942310404 Individual Practitioner Female Practitioner

Stacey Moore

Pharmacist • Tifton, GA

Professional Overview & Biography Verified Profile Summary

Stacey Moore is a registered healthcare professional specializing in Pharmacist in Tifton, GA. Practice services are available at 111 8TH ST E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 8th St E

Tifton, GA 317944099

Telephone 2293824541
Fax 2293881909
Associated Practice Facility / Clinic
🏢 Georgia Cvs Pharmacy Llc Facility NPI 1750484408

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tifton, GA

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

Practicing in Tifton, 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: 2020-11-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA 019515

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
05012015 (GA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1750985487

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 27, 2020

Registered at 111 8TH ST E, TIFTON, GA 317944099 (Tel: 2293824541)

📍
Updated Business Mailing Address November 27, 2020

Registered at 366 GOSS DR, ASHBURN, GA 317145111 (Tel: 2295671161)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2418 SYLVESTER RD, ALBANY, GA 317052468 (Tel: 2298898871)

📍
Updated Business Mailing Address July 08, 2007

Registered at 232 PHILLIPS AVE, ASHBURN, GA 317145034

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACEY MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #019515 in GA)

🟢
Initial NPI Registration & Enumeration August 30, 2006

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: 1942310404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: November 27, 2020
Sole Proprietor: No

Mailing Address

366 Goss Dr

Ashburn, GA 317145111

Phone: 2295671161

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.