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

Jerry Moore, DPH

Individual provider Pharmacist · NPI 1154832954

Jerry Moore, DPH is a Pharmacist in Guymon, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.

Licensed in
OK
In the registry since
2017

Practice location Address checks out

1902 N Academy St
Guymon, OK 73942-2756
Phone: (580) 338-8421
Fax: (580) 338-0721
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 8564 (OK)

Record details

NPI number1154832954
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorNo
NPI enumeratedOctober 19, 2017
Last updated in NPPESJune 16, 2018
Mailing address1902 N Academy St, Guymon, OK 73942-2756

Other providers in Guymon