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Misty Moore

Pharmacist β€’ Jesup, GA

Active NPI 1508260407 Individual Practitioner Female Practitioner
Practice location in NPPES

102 S 1st St
Jesup, GA 315451171

Call 9125881035 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

102 S 1st St

Jesup, GA 315451171

Telephone 9125881035
Fax 9125887015
Organization at the Same NPPES Address or Phone
Walgreen Co Facility NPI 1982858718

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jesup and Georgia

26 active clinicians are listed under Pharmacist with a practice address in Jesup, GA (8,299 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jesup

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-22
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES GA RPH028165

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 22, 2022

Registered at 102 S 1ST ST, JESUP, GA 315451171 (Tel: 9125881035)

πŸ“
Updated Practice Location February 07, 2020

Registered at 1061 HARMON AVE, FORT STEWART, GA 313145641 (Tel: 9124355687)

πŸ“
Updated Business Mailing Address February 07, 2020

Registered at 1061 HARMON AVE, FORT STEWART, GA 313145641 (Tel: 9124355687)

βœ…
NPI Profile Active October 21, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 21, 2014

Registered at 402 S DOWNING MUSGROVE, GLENNVILLE, GA 30427 (Tel: 9126549647)

πŸ“
Business Mailing Address (Initial Record) October 21, 2014

Registered at 402 S DOWNING MUSGROVE, GLENVILLE, GA 30427 (Tel: 9126549647)

πŸ‘€
Provider Name / Credentials (Initial Record) October 21, 2014

Recorded as MISTY MOORE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2014

Pharmacist (license number reported to NPPES: GA RPH028165)

🟒
Initial NPI Registration & Enumeration October 21, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508260407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2014
Last Update: December 22, 2022
Sole Proprietor: Yes

Mailing Address

1061 Harmon Ave

Fort Stewart, GA 313145641

Phone: 9124355687

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.