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MR. DERRICK MONTEREY MOORE SR.
NPI 1770739872
Driver in Meridian, MS

Active since August 08, 2008
8325 POPLAR SPRINGS DR LOT 55, MERIDIAN, MS 39305(601) 681-4582(601) 681-9642 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Derrick Monterey Moore Sr. NPPES

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

MR. DERRICK MONTEREY MOORE SR. (NPI 1770739872) is an individual driver provider in Meridian, Mississippi, licensed in Mississippi (9205865) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1770739872
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameMR. DERRICK MONTEREY MOORE SR.
Location Address8325 POPLAR SPRINGS DR LOT 55Meridian, MS 39305-9243
Mailing Address8325 Poplar Springs Dr Lot 55Meridian, MS 39305-9243 · (601) 681-4582 · Fax (601) 681-9642
Phone(601) 681-4582
Fax(601) 681-9642
Sole ProprietorYes
Enumeration DateAugust 8, 2008
✔ NPI 1770739872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in MS · 9205865
Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

8325 POPLAR SPRINGS DR LOT 55, Meridian, MS 39305
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Other Identifiers 1

Medicaid02926254MS

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 Derrick Moore's NPI number?

The NPI number for Derrick Moore is 1770739872. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Where is Derrick Moore located?

Derrick Moore practices at 8325 Poplar Springs Dr Lot 55, Meridian, MS 39305. The listed phone number is (601) 681-4582.

What is Derrick Moore's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Derrick Moore was last updated on August 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.