Individual provider · Type 1 NPI

Jefffrey Moore

Pharmacist · Speedwell, TN

NPI number 1205704517 Active

Practice location

290 Chestnut Dr
Speedwell, TN 37870-6022

Fax (606) 248-5455

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0006430 (TN)

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…

About NPI 1205704517

Jefffrey Moore's National Provider Identifier is 1205704517, issued on Oct 28, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Speedwell, TN. The record was last updated on Oct 28, 2025.