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

Miss. Kelley Nicole Moore, PHARMD

Individual provider Pharmacist · NPI 1417313784

Miss. Kelley Nicole Moore, PHARMD is a Pharmacist in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

3745 Louisiana Ave S
St Louis Park, MN 55426-4361
Phone: (952) 926-0170
Fax: (952) 926-1125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 121059 (MN)

Record details

NPI number1417313784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJanuary 2, 2016
Last updated in NPPESJanuary 2, 2016

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