MOBY RX


Address: 225 Waterman Dr, South Portland, ME 04106-3634
Phone: 2078994600

MOBY RX (NPI# 1225328669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225328669
Entity Type Organization
Organization Name MOBY RX
Other Organization Name MOBY RX
Practice Address 225 Waterman Dr
South Portland
ME 04106-3634
Practice Telephone 2078994600
Practice Fax Number 2078994613
Mailing Telephone 2078994600
Mailing Fax Number 2078994613
Enumeration Date 2011-04-19
Last Update Date 2016-01-13
Authorized Official Name MOMENJAN ABDULLAYOF (PRESIDENT/OWNER)
Authorized Official Telephone 2078994600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PH50001426 ME Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2130568 01

Other Provider/Organization Names

Other Name Type Code
Moby Rx Doing Business As Name - Organization

Office Location

Street Address 225 WATERMAN DR
City SOUTH PORTLAND
State ME
Zip Code 04106-3634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801102512 Momenjan T Abdullayof Pharmacist 225 Waterman Dr, South Portland, ME 04106-3617 2010-08-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513748 Rayna Louise Sage Behavior Technician 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 2020-09-17
1972127330 Scott M Davis Md LLC Internal Medicine 89 Cannon Road, South Portland, ME 04106 2020-06-02
1568013936 Clara Cassidy Behavior Technician 50 Donald Bean Dr, Ste B, South Portland, ME 04106 2019-09-26
1336614346 Kari Whitney Nurse Practitioner Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 2018-10-05
1588152193 Kristen F. Pierce Counselor 100 Waterman Drive, Suite 201, South Portland, ME 04106 2018-04-30
1649779224 Jennifer Rene Johnson Social Worker 135 Westbrook St, South Portland, ME 04106 2018-02-08
1154847721 Integral Nutrition, LLC Dietitian, Registered 59 Baltimore Avenue, South Portland, ME 04106 2017-08-16
1730619610 John Preston Powell Psychiatry & Neurology 68 B Street Apt 4, South Portland, ME 04106 2017-06-14
1649706268 Gisselle Mani Student in an Organized Health Care Education/Training Program 30 Lydia Ln Apt 2115, South Portland, ME 04106 2017-05-02
1245786987 Jonathan Frank Olmes Optometrist 335 Maine Mall Rd., South Portland, ME 04106 2016-09-01
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932721230 Eric Edward Morse Pharmacy Wilsens Drug Store, 114 Front St, Bath, ME 04530 2020-05-11
1124687538 Rx Associates LLC Pharmacy 711 Broadway Ste 1, Bangor, ME 04401-3225 2019-06-10
1366916025 Waterville Pharmacy Pharmacy 20 Concourse W, Waterville, ME 04901 2019-01-16
1871076117 Aroostook Apothecary LLC Pharmacy 73 Presque Isle Road, Ashland, ME 04732 2018-09-12
1518481134 Aroostook Pharmacy Inc. Pharmacy 182 Market St Ste 2, Fort Kent, ME 04743-1514 2017-07-26
1487067997 Seaside Pharmacy Pharmacy 59 School Street, Stonington, ME 04681 2014-06-03
1609216498 Dirigo Drug LLC Pharmacy 1144 Main Street, Clinton, ME 04927 2013-06-26
1790077477 Bedard Pharmacy, Inc. Pharmacy 359 Minot Ave Ste B, Auburn, ME 04210-4329 2011-05-12
1255648689 Jensen's Pharmacy Pharmacy 91 Camden St Ste 105, Rockland, ME 04841-2421 2010-09-07
1780913111 M Drug LLC Pharmacy 33 Whiting Hill Rd Ste 4, Brewer, ME 04412-1022 2009-12-14
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Competitor

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City SOUTH PORTLAND
Zip Code 04106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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