MOORE'S PHARMACY
NPI 1053524009
Pharmacy - Community/Retail Pharmacy in Sebastopol, MS

Q: What is Rodney L Moore's NPI number?

The NPI number for Rodney L Moore is 1053524009. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Moore's Pharmacy.

Q: What is Rodney L Moore's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Rodney L Moore was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 07, 2007CLIA 25D2184405 · Waiver

16831 HWY 21 S, SEBASTOPOL, MS 39359(601) 625-7158(601) 625-9480 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 8, 2019, Jan 30, 2019 (2 updates tracked since 2019).

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About Moore's Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOORE'S PHARMACY (NPI 1053524009) is a healthcare organization registered as a community/retail pharmacy in Sebastopol, Mississippi and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Brett C Moore, Pharmacy Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1053524009

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameRODNEY L MOORE

Location Address16831 HWY 21 SSebastopol, MS 39359

Mailing AddressPo Box 289Sebastopol, MS 39359-0289

Phone(601) 625-7158

Fax(601) 625-9480

Organization SubpartNo

Authorized OfficialBrett C MoorePharmacy Operations Manager · (601) 706-5417

Enumeration DateMay 7, 2007

Last NPPES UpdateOctober 8, 20192 updates tracked since enumeration

✔ NPI 1053524009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MS · 02178

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

16831 HWY 21 S, Sebastopol, MS 39359

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Other Names 1

Doing Business AsMoore's Pharmacy

Other Identifiers 2

Other2511473MS · Ncpdp

Medicaid00030128MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2184405

Moore's Pharmacy · Sebastopol, MS

Active · expires May 18, 2028

CLIA Number25D2184405

Laboratory TypePharmacy

Certificate Effective DateMay 19, 2026

Certificate Expiration DateMay 18, 2028

Laboratory DirectorBrett C. Moore

Laboratory Phone(601) 625-7158

Laboratory LocationMoore's Pharmacy16831 Hwy 21, Sebastopol, MS 39359

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodney L Moore's NPI number?

The NPI number for Rodney L Moore is 1053524009. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Moore's Pharmacy.

Where is Rodney L Moore located?

Rodney L Moore is located at 16831 Hwy 21 S, Sebastopol, MS 39359. The listed phone number is (601) 625-7158.

What is Rodney L Moore's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Rodney L Moore hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2184405) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rodney L Moore accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 39 other insurers list Rodney L Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rodney L Moore was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.