Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619431517 Individual Practitioner Male Practitioner

Philip Brett Moore , DOCTOR OF PHARMACY

Pharmacist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Philip Moore, DOCTOR OF PHARMACY is a registered healthcare professional specializing in Pharmacist in Bloomington, MN. Practice services are available at 200 AMERICAN BLVD W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 American Blvd W

Bloomington, MN 554201120

Telephone 9528886079
Fax 9528886095
Associated Practice Facility / Clinic
🏢 Sams West Inc Facility NPI 1356368757

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
92 Specialists

Practicing in Bloomington, MN (4994 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 121058

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

Commercial Insurance / Payer ID State Pharmacy License
121058 (MN)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1265032593

Doctor of Pharmacy (Pharm.D.)

NPI 1407451073

Doctor of Pharmacy (Pharm.D.)

NPI 1801494547

Doctor of Pharmacy (Pharm.D.)

NPI 1841439015

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2019

Registered at 200 AMERICAN BLVD W, BLOOMINGTON, MN 554201120 (Tel: 9528886079)

📍
Updated Business Mailing Address January 24, 2019

Registered at 863 23RD AVE SE, MINNEAPOLIS, MN 554142607 (Tel: 8143166898)

👤
Provider Name / Credentials Updated January 24, 2019

Recorded as PHILIP MOORE, DOCTOR OF PHARMACY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2019

Pharmacist (License #121058 in MN)

🟢
Initial NPI Registration & Enumeration January 24, 2019

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: 1619431517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2019
Last Update: January 24, 2019
Sole Proprietor: No

Mailing Address

863 23rd Ave Se

Minneapolis, MN 554142607

Phone: 8143166898

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.