NATHANIEL RANDALL MOORE PHARM.D.
NPI 1538529300
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Q: What is Nathaniel Moore's NPI number?

The NPI number for Nathaniel Moore is 1538529300. It was assigned to this individual provider in the NPPES registry on March 7, 2016. The provider is also known as Nathaniel Randall Thompson-Moore Pharm.D..

Q: What is Nathaniel Moore's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Moore was last updated on March 7, 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.

Active since March 07, 2016PECOS Enrolled

1919 NW LOVEJOY ST, PORTLAND, OR 97209(971) 201-2640 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nathaniel Randall Moore Pharm.d. NPPES

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

NATHANIEL RANDALL MOORE PHARM.D. (NPI 1538529300) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (RPH-0014564) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Texas At Austin Dell Medical School (2010).

NPPES Registry Identity

NPI1538529300

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameNATHANIEL RANDALL MOORECredential: PHARM.D.

Location Address1919 NW LOVEJOY STPortland, OR 97209-1503

Mailing Address14311 Se Amberlyn CtClackamas, OR 97015-7223 · (281) 794-5715

Phone(971) 201-2640

Sole ProprietorNo

Medical School CMSUniversity Of Texas At Austin Dell Medical SchoolGraduated 2010

Enumeration DateMarch 7, 2016

✔ NPI 1538529300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in OR · RPH-0014564

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

1919 NW LOVEJOY ST, Portland, OR 97209

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Other Names 1

Former Name (1)Nathaniel Randall Thompson-moore Pharm.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathaniel Randall Moore Pharm.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921584509

PECOS Enrollment IDI20260114000237

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

HEATHER JACOBS MPA, NBC-HWC

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