Individual provider

Kimberly Moore, PHARMD, RDN

Pharmacist Obesity and Weight Management Nutrition Registered Dietitian

Kimberly Moore, PHARMD, RDN is a Pharmacist in Eden Prairie, MN, registered under NPI 1124436019. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 11000 OPTUM CIR, Eden Prairie, MN 55344. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11000 OPTUM CIR, Eden Prairie, MN 55344 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
55019 TX Pharmacist primary
DT88043 TX Obesity and Weight Management Nutrition…

This provider holds licence 55019 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Pharmacist covers

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. NUCC Health Care Provider Taxonomy, code 183500000X
Pharmacy Service Providers Pharmacist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
183500000X Pharmacist 55019 TX primary
133VN1201X Obesity and Weight Management Nutrition Registered Dietitian Nutrition, Obesity and Weight Management DT88043 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124436019 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 24, 2014
Last updatedApr 22, 2026
StatusActive
Sole proprietorNo
CredentialPHARMD, RDN
Practice address 11000 OPTUM CIR
Eden Prairie, MN 55344
(763) 910-9149
Mailing address 937 CANYON CREEK
Temple, TX 78681
This record was updated on Apr 22, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1124436019 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 4 3 6 0 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 8 3 3 0 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124436019?
NPI 1124436019 is the National Provider Identifier assigned to Kimberly Moore, PHARMD, RDN in Eden Prairie, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pharmacist cover?
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or…
How do I contact Kimberly Moore, PHARMD, RDN?
The phone number on file with NPPES is (763) 910-9149, last updated Apr 22, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1124436019 a valid number?
Yes. 1124436019 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.