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

Misty Moore

Individual provider Pharmacist · NPI 1508260407

Misty Moore is a Pharmacist in Jesup, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2014
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Practice location Address checks out

102 S 1st St
Jesup, GA 31545-1171
Phone: (912) 588-1035
Fax: (912) 588-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH028165 (GA)

Record details

NPI number1508260407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2014
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address1061 Harmon Ave, Fort Stewart, GA 31314-5641

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