MISTY MOORE
NPI 1508260407
Pharmacist in Jesup, GA

Active since October 21, 2014
102 S 1ST ST, JESUP, GA 31545(912) 588-1035(912) 588-7015 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Feb 7, 2020 (2 updates tracked since 2020).

About Misty Moore NPPES

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

MISTY MOORE (NPI 1508260407) is an individual pharmacist in Jesup, Georgia, licensed in Georgia (RPH028165) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1508260407
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMISTY MOORE
Location Address102 S 1ST STJesup, GA 31545-1171
Mailing Address1061 Harmon AveFort Stewart, GA 31314-5641 · (912) 435-5687
Fax(912) 588-7015
Sole ProprietorYes
Enumeration DateOctober 21, 2014
Last NPPES UpdateDecember 22, 20222 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
NPI 1508260407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH028165
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.
102 S 1ST ST, Jesup, GA 31545

Other Providers at the Same Location NPPES 8

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

Pharmacist
102 S 1ST ST
JESUP, GA 31545
Pharmacist
102 S 1ST ST
JESUP, GA 31545
Pharmacist
102 S 1ST ST
JESUP, GA 31545
Pharmacist
102 S 1ST ST
JESUP, GA 31545
Pharmacist
102 S 1ST ST
JESUP, GA 31545
Pharmacist
102 S 1ST ST
JESUP, GA 31545
Pharmacist
102 S 1ST ST
JESUP, GA 31545
Pharmacy
102 S 1ST ST
JESUP, GA 31545

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 Misty Moore's NPI number?

The NPI number for Misty Moore is 1508260407. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Misty Moore located?

Misty Moore practices at 102 S 1st St, Jesup, GA 31545. The listed phone number is (912) 588-1035.

What is Misty 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 Misty Moore was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.