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

Jaci Moore

Individual provider Pharmacist · NPI 1639963648

Jaci Moore is a Pharmacist in Lenexa, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2025

Practice location Address checks out

11300 Corporate Ave Ste 120
Lenexa, KS 66219-1365
Phone: (913) 574-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 1-128462 (KS)

Record details

NPI number1639963648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESJuly 19, 2026
Certification dateJuly 19, 2026
Mailing address202 Oak Ct, Hallsville, MO 65255-9472

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