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MISS KELLEY NICOLE MOORE PHARMD
NPI 1417313784
Pharmacist in St Louis Park, MN

Active since January 02, 2016
3745 LOUISIANA AVE S, ST LOUIS PARK, MN 55426(952) 926-0170(952) 926-1125 Get Directions Write a Review

NPPES record last updated: January 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Kelley Nicole Moore Pharmd NPPES

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

MISS KELLEY NICOLE MOORE PHARMD (NPI 1417313784) is an individual pharmacist in St Louis Park, Minnesota, licensed in Minnesota (121059) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1417313784
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMISS KELLEY NICOLE MOORECredential: PHARMD
Location Address3745 LOUISIANA AVE SSt Louis Park, MN 55426-4361
Mailing Address3745 Louisiana Ave SSt Louis Park, MN 55426-4361 · (952) 926-0170 · Fax (952) 926-1125
Phone(952) 926-0170
Fax(952) 926-1125
Sole ProprietorYes
Enumeration DateJanuary 2, 2016
✔ NPI 1417313784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MN · 121059
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.
3745 LOUISIANA AVE S, St Louis Park, MN 55426
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Other Providers at the Same Location NPPES 3

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

HEATHER M BERGERUD OD INC
Optometrist
3745 LOUISIANA AVE S
ST. LOUIS PARK, MN 55426
Hennepin County (952) 922-4427
DR. HEATHER MARIE BERGERUD OD
Optometrist
3745 LOUISIANA AVE S
ST. LOUIS PARK, MN 55426
Hennepin County (952) 922-4427
AI SOUNDARA O.D.
Optometrist
3745 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Hennepin County (952) 926-1775

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 Kelley Moore's NPI number?

The NPI number for Kelley Moore is 1417313784. It was assigned to this individual provider in the NPPES registry on January 2, 2016.

Where is Kelley Moore located?

Kelley Moore practices at 3745 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 926-0170.

What is Kelley 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 Kelley Moore was last updated on January 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.