MOBY RX (NPI# 1225328669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2130568 | 01 |
Other Name | Type Code |
---|---|
Moby Rx | Doing Business As Name - Organization |
Street Address |
225 WATERMAN DR |
City | SOUTH PORTLAND |
State | ME |
Zip Code | 04106-3634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801102512 | Momenjan T Abdullayof | Pharmacist | 225 Waterman Dr, South Portland, ME 04106-3617 | 2010-08-19 |
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 |
Find all providers in zip 04106 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail 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. |
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] |
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 |
Find all providers with the same taxonomy |
City | SOUTH PORTLAND |
Zip Code | 04106 |
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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.