Individual provider · Type 1 NPI

Kimberly Evans Moore, PharmD, RDN

Pharmacist · Eden Prairie, MN

NPI number 1124436019 Active

Practice location

11000 Optum Cir
Eden Prairie, MN 55344-2503

Mailing address

2721 Laurel Valley Ln
Arlington, TX 76006-4019

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X55019 (TX)
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201XDT88043 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1124436019

Kimberly Evans Moore, PharmD, RDN's National Provider Identifier is 1124436019, issued on Jul 24, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Eden Prairie, MN. The record was last updated on Jun 28, 2026.