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Active NPI 1265042691 Individual Practitioner Male Practitioner

Nicholas Antonio Moore , DOCTOR OF PHARMACY

Pharmacist • Fairview Heights, IL

Professional Overview & Biography Verified Profile Summary

Nicholas Moore, DOCTOR OF PHARMACY is a registered healthcare professional specializing in Pharmacist in Fairview Heights, IL. Practice services are available at 604 CHERRY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

604 Cherry Dr

Fairview Heights, IL 622082846

Telephone 6184091573

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fairview Heights, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Fairview Heights, IL (9983 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: 2020-07-31
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2016027148

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License AZ S022386

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 31, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2020

Registered at 604 CHERRY DR, FAIRVIEW HEIGHTS, IL 622082846 (Tel: 6184091573)

📍
Updated Business Mailing Address July 31, 2020

Registered at 604 CHERRY DR, FAIRVIEW HEIGHTS, IL 622082846 (Tel: 6184091573)

👤
Provider Name / Credentials Updated July 31, 2020

Recorded as NICHOLAS MOORE, DOCTOR OF PHARMACY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2020

Pharmacist (License #2016027148 in MO)

🟢
Initial NPI Registration & Enumeration July 31, 2020

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: 1265042691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2020
Last Update: July 31, 2020
Sole Proprietor: Yes

Mailing Address

604 Cherry Dr

Fairview Heights, IL 622082846

Phone: 6184091573

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.