CASEY MOORE
NPI 1205458080
Pharmacist in Tuba City, AZ

Active since May 14, 2020
167 MAIN ST, TUBA CITY, AZ 86045(928) 283-2754 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Casey Moore NPPES

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

CASEY MOORE (NPI 1205458080) is an individual pharmacist in Tuba City, Arizona, licensed in Ohio (03439210) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1205458080
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCASEY MOORE
Location Address167 MAIN STTuba City, AZ 86045-0600
Mailing AddressPo Box 3460Tuba City, AZ 86045-3460
Sole ProprietorNo
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
NPI 1205458080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OH · 03439210
Definition
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.
167 MAIN ST, Tuba City, AZ 86045

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
167 MAIN ST
TUBA CITY, AZ 86045
Physical Therapist
167 MAIN ST
TUBA CITY, AZ 86045
Pharmacist
167 MAIN ST
TUBA CITY, AZ 86045
Emergency Medicine
167 MAIN ST
TUBA CITY, AZ 86045
Social Worker (Clinical)
167 MAIN ST
TUBA CITY, AZ 86045
Dentist
167 MAIN ST
TUBA CITY, AZ 86045
Pharmacist
167 MAIN ST
TUBA CITY, AZ 86045
Pharmacist
167 MAIN ST
TUBA CITY, AZ 86045

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 Casey Moore's NPI number?

The NPI number for Casey Moore is 1205458080. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Casey Moore located?

Casey Moore practices at 167 Main St, Tuba City, AZ 86045. The listed phone number is (928) 283-2754.

What is Casey Moore's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Casey Moore was last updated on May 14, 2020. 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.