PALACE DRUG STORE – NPI #1922142736
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

PALACE DRUG STORE is a pharmacy located in CLEVELAND, OK. NPPES has assigned the NPI number 1922142736 to PALACE DRUG STORE on February 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PALACE DRUG STORE” is a dba name, the actual legal business name for this organization is MOORE HEALTHCARE INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 9 years ago on Jan 17, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PALACE DRUG STORE below.

NPI Profile for
MOORE HEALTHCARE INC

NPI Number
1922142736
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOORE HEALTHCARE INC
Doing Business As (dba): PALACE DRUG STORE
Primary location
301 N BROADWAY ST
CLEVELAND, OK 74020-3421
Phone: (918) 358-2524 Fax: (918) 358-2588
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREGORY MOORE
MANAGER
Phone: (918) 358-2587
Updated
Identifiers

Identifiers for PALACE DRUG STORE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2081522
MEDICAIDOK100811860B
MEDICAIDOK100811860A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.