IndividualActive
Jessica Moore
NPI 1962332502 · Pharmacy Technician · Wichita, KS
Provider details
- NPI number
- 1962332502
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 14-08573 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone: (316) 685-2221
Approximate (ZIP-level) locationGet directions
Mailing address
5500 E Kellogg Dr
Wichita, KS 67218-1607
Registry dates
- Enumerated
- 2026-05-22
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.