Mrs Kristy Ladawn Moore, RPH is a
Pharmacist based in Minnie, Kentucky. Mrs Kristy Ladawn Moore is licensed to practice in Kentucky (license number 12197) and her current practice location is
8274 Ky Rt 122, Minnie, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 377-2117.
NPI number for Mrs Kristy Ladawn Moore is 1134216476 and her current mailing address is 300 Park View Drive, Minnie, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134216476.
Healthcare Provider's Profile
| Full Name | Mrs Kristy Ladawn Moore |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 8274 Ky Rt 122, Minnie, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134216476
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kristy Ladawn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134216476 | NPI | - | NPPES |
| 5401104400 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 12197 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristy Ladawn Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kristy Ladawn Moore, RPH
300 Park View Drive,
Minnie, KY 41651
Ph: (606) 377-9216 | Mrs Kristy Ladawn Moore, RPH
8274 Ky Rt 122,
Minnie, KY 41651
Ph: (606) 377-2117 |
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