Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801064423 Individual Practitioner Female Practitioner

Kim Ann Moore

Pharmacist • Spring Lake, NJ

Professional Overview & Biography Verified Profile Summary

Kim Moore is a registered healthcare professional specializing in Pharmacist in Spring Lake, NJ. Practice services are available at 2006 HWY 35 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2006 Hwy 35

Spring Lake, NJ 077622543

Telephone 7322820719
Fax 7322829069
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1356866719

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Spring Lake, NJ

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

Practicing in Spring Lake, NJ (8390 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 NJ 28RI02876300

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 NY 040519

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
040519 (NY)

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1023325578

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Lavanya Kamineni , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1104281179

Advanced Practice Nurse

NPI 1477956209

Doctor of Pharmacy (Pharm.D.)

NPI 1508317108

Doctor of Pharmacy (Pharm.D.)

Oluremi Kusimo

Pharmacist

NPI 1649844713
Yefim Vexler

Pharmacist

NPI 1730555293

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 31, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2013

Registered at 2006 HWY 35, SPRING LAKE, NJ 077622543 (Tel: 7322820719)

📍
Updated Business Mailing Address October 31, 2013

Registered at 54 OVERLOOK DR, JACKSON, NJ 085274849 (Tel: 7328337326)

👤
Provider Name / Credentials Updated October 31, 2013

Recorded as KIM MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2013

Pharmacist (License #28RI02876300 in NJ)

🟢
Initial NPI Registration & Enumeration February 17, 2008

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: 1801064423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2008
Last Update: October 31, 2013
Sole Proprietor: No

Mailing Address

54 Overlook Dr

Jackson, NJ 085274849

Phone: 7328337326

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.