IndividualActive
Casey Moore
NPI 1205458080 · Pharmacist · Tuba City, AZ
Casey Moore is a Pharmacist provider in Tuba City, AZ (NPI 1205458080).
Provider details
- NPI number
- 1205458080
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 03439210 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
167 Main St
Tuba City, AZ 86045-0600
Phone: (928) 283-2754
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3460
Tuba City, AZ 86045-3460
Registry dates
- Enumerated
- 2020-05-14
- Last updated
- 2020-05-14
- Certified
- 2020-05-14
Frequently asked questions
- What is Casey Moore's NPI number?
- Casey Moore's National Provider Identifier (NPI) is 1205458080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Casey Moore's specialty?
- Casey Moore is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Casey Moore located?
- Casey Moore's practice location on file with NPPES is 167 Main St, Tuba City, AZ 86045-0600.
- What is Casey Moore's phone number?
- The practice phone number listed in the NPPES registry for Casey Moore is (928) 283-2754.
- Is Casey Moore's NPI active?
- Yes — Casey Moore's NPI (1205458080) is active in the NPPES registry as of the last update on 2020-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.