Kimberly Evans Moore, PHARMD, RDN
NPI 1124436019ActiveIndividual· Pharmacist· Eden Prairie, MN
Pharmacist (PHARMD, RDN) in Eden Prairie, Minnesota, licensed in TX, with an NPI issued in July 2014.
Overview
| NPI | 1124436019 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD, RDN |
| Sole proprietor | No |
| NPI issued | Jul 24, 2014 |
| Last updated in NPPES | Jun 28, 2026 |
| Certified by provider | Jun 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 55019 | TX |
| Dietitian, Registered, Nutrition, Obesity and Weight Management | 133VN1201X | DT88043 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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