Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Moore

Individual provider Pharmacist · NPI 1699387571

Blake Moore is a Pharmacist in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
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Practice location Address checks out

1155 E Saint Louis St
Springfield, MO 65806-2527
Phone: (417) 862-5302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2014026382 (MO)

Record details

NPI number1699387571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2020
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing address1155 E Saint Louis St, Springfield, MO 65806-2527

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