MOORE'S PHARMACY LENA LLC
NPI 1568012383
Pharmacy - Community/Retail Pharmacy in Lena, MS

Active since September 13, 2019CLIA 25D2184400 · Waiver
1212 GRAND AVENUE, LENA, MS 39094(601) 780-2757(601) 724-9438 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 29, 2020, Aug 19, 2020, Mar 3, 2020 and 3 more (6 updates tracked since 2019).

About Moore's Pharmacy Lena Llc NPPES

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

MOORE'S PHARMACY LENA LLC (NPI 1568012383) is a healthcare organization registered as a community/retail pharmacy in Lena, Mississippi and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Brett Chapin Moore, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1568012383
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMOORE'S PHARMACY LENA LLC
Location Address1212 GRAND AVENUELena, MS 39094
Mailing AddressPo Box 80Lena, MS 39094-0080 · (601) 780-2757 · Fax (601) 724-9438
Fax(601) 724-9438
Organization SubpartNo
Authorized OfficialBrett Chapin MooreManaging Member · (601) 706-5417
Enumeration DateSeptember 13, 2019
Last NPPES UpdateSeptember 29, 20206 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
NPI 1568012383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1212 GRAND AVENUE, Lena, MS 39094

Other Identifiers 1

Medicaid06620077MS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2184400

Moore's Pharmacy · Lena, MS
Active · expires May 18, 2028
CLIA Number25D2184400
Laboratory TypePharmacy
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorBrett C. Moore
Laboratory Phone(601) 780-2757
Laboratory LocationMoore's Pharmacy1212 Grand Ave, Lena, MS 39094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Moore's Pharmacy Lena LLC's NPI number?

The NPI number for Moore's Pharmacy Lena LLC is 1568012383. It was assigned to this organization in the NPPES registry on September 13, 2019.

Where is Moore's Pharmacy Lena LLC located?

Moore's Pharmacy Lena LLC is located at 1212 Grand Avenue, Lena, MS 39094. The listed phone number is (601) 780-2757.

What is Moore's Pharmacy Lena LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Moore's Pharmacy Lena LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2184400) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Moore's Pharmacy Lena LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 39 other insurers list Moore's Pharmacy Lena LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moore's Pharmacy Lena LLC was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.