DR. NICHOLAS ANTONIO MOORE DOCTOR OF PHARMACY
NPI 1265042691
Pharmacist in Fairview Heights, IL

Q: What is Nicholas Moore's NPI number?

The NPI number for Nicholas Moore is 1265042691. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Q: What is Nicholas Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Moore was last updated on July 31, 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.

Active since July 31, 2020

604 CHERRY DR, FAIRVIEW HEIGHTS, IL 62208(618) 409-1573 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Nicholas Antonio Moore Doctor Of Pharmacy NPPES

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

DR. NICHOLAS ANTONIO MOORE DOCTOR OF PHARMACY (NPI 1265042691) is an individual pharmacist in Fairview Heights, Illinois, licensed in Missouri (2016027148) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1265042691

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. NICHOLAS ANTONIO MOORECredential: DOCTOR OF PHARMACY

Location Address604 CHERRY DRFairview Heights, IL 62208-2846

Mailing Address604 Cherry DrFairview Heights, IL 62208-2846 · (618) 409-1573

Phone(618) 409-1573

Sole ProprietorYes

Enumeration DateJuly 31, 2020

NPPES CertifiedJuly 31, 2020

✔ NPI 1265042691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

Licenses✔ Licensed in MO · 2016027148✔ Licensed in AZ · S022386

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.

604 CHERRY DR, Fairview Heights, IL 62208

Open in Google Maps ↗

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 Nicholas Moore's NPI number?

The NPI number for Nicholas Moore is 1265042691. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Nicholas Moore located?

Nicholas Moore practices at 604 Cherry Dr, Fairview Heights, IL 62208. The listed phone number is (618) 409-1573.

What is Nicholas 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 Nicholas Moore was last updated on July 31, 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.