Individual provider · Type 1 NPI

Jaci Moore

Pharmacist · Lenexa, KS

NPI number 1639963648 Active

Practice location

11300 Corporate Ave Ste 120
Lenexa, KS 66219-1365

Mailing address

202 Oak Ct
Hallsville, MO 65255-9472

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X1-128462 (KS)

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…

4 other providers at this address

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About NPI 1639963648

Jaci Moore's National Provider Identifier is 1639963648, issued on Apr 7, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lenexa, KS. The record was last updated on Jul 19, 2026.