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Deactivated NPI 1902840069 Deactivated / Inactive NPI Female Practitioner

Ann E. Moore , RPH

Pharmacist • Wautoma, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ann Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2006
NPI Deactivation Date July 02, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Ann Moore, RPH was a registered Pharmacist practicing in Wautoma, WI. Throughout an active medical career spanning 20 years, Ann Moore provided care at the practice location at 900 E. DIVISON ST until profile deactivation on 2026-07-02.

Practice Location & Contact Primary Location

Practice Address

900 E. Divison St
Aurora Pharmacy #300

Wautoma, WI 54982

Telephone 9207876940
Fax 9207876945
Associated Practice Facility / Clinic
🏢 Aurora Pharmacy Inc Facility NPI 1003840224

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Wautoma, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Wautoma, WI (5503 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 WI 9927-040

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

2 Associated Practitioners
NPI 1619517109

Registered Pharmacist

NPI 1639716533

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 900 E. DIVISON ST, AURORA PHARMACY #300, WAUTOMA, WI 54982 (Tel: 9207876940)

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Updated Business Mailing Address July 08, 2007

Registered at 3140 SPRING VALLEY RD, OSHKOSH, WI 549049381 (Tel: 9202328336)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANN MOORE, RPH

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

Pharmacist (License #9927-040 in WI)

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Initial NPI Registration & Enumeration June 16, 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: 1902840069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: July 08, 2007
Deactivation Date: July 02, 2026

Mailing Address

3140 Spring Valley Rd

Oshkosh, WI 549049381

Phone: 9202328336

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.