DR. CRYSTIE SHEREE MOORMAN PHARMD NPI 1679868509

NPI Information

NPI: 1679868509
Provider Name: DR. CRYSTIE SHEREE MOORMAN, PHARMD
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
110 KEATING RD
BATESVILLE, MS
ZIP 38606
Phone: (662) 578-4399
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DR. Crystie Sheree Moorman, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Batesville, MS. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Crystie Sheree Moorman, PHARMD NPI is 1679868509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 KEATING RD
BATESVILLE, MS
ZIP 38606-900
Phone: (662) 578-4399

The enumeration date for this NPI number is 6/20/2011 and was last updated on 11/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183500000X	Pharmacist		E-010210	MISSISSIPPI	No
2	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	E-010210	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1679868509	MEDICAID	MISSISSIPPI
2	1679868509	OTHER		NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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