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1225336316 NPI number — BRIAN THOMAS MOORE PHARM D

NPI Number: 1225336316
Health Care Provider/Practitioner: BRIAN THOMAS MOORE PHARM D

Information about “1225336316” NPI (BRIAN THOMAS MOORE PHARM D) exists in 1225336316 in HTML format HTML  |  1225336316 in plain Text format TXT  |  1225336316 in PDF (Portable Document Format) PDF  |  1225336316 in an XML format XML  formats.

NPI Number : 1225336316 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225336316",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOORE",
    "FirstName": "BRIAN",
    "MiddleName": "THOMAS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARM D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5012 DESPESTRE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DANIEL ISLAND",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29492-8084",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-971-8466",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "602 BACONS BRIDGE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUMMERVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29485-4102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-873-5853",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/14/2011",
    "LastUpdateDate": "03/14/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "12413",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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