Organization
MOORE FAMILY STORES INC.
Active
Other names
The Pharmacie Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT J MOORE (OWNER/PRESIDENT)
(217) 362-6226
Entity
Organization
Contact information
Practice address
1 STALEY AVE, CASEY, IL 62420-1458
(217) 932-4004
(217) 609-6065
Mailing address
2245 W MOUND RD, DECATUR, IL 62526-9367
(217) 362-6226
(217) 362-6241
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054020331
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1430216
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/28/2005
Last updated
07/24/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up