Vanessa Rae Moore, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR5047 Issued in ME

Practice address

843 Central St
Millinocket, ME 04462-2125

Phone

(207) 723-8148

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Vanessa Rae Duprey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hannaford Bros Co LLC

  • Community/Retail Pharmacy
  • Millinocket, ME
  • NPI 1386752764
  NPD (past)
• Hannaford Bros. Co., LLC

  • Community/Retail Pharmacy
  • Scarborough, ME
  • NPI 1861175622
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1205952587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OHIO STREET",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621935",
            "telephone_number": "207-233-4769",
            "fax_number": "207-723-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 CENTRAL ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044622125",
            "telephone_number": "207-723-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VANESSA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "DUPREY",
            "middle_name": "RAE",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Millinocket Regional Hospital
• Millinocket Regional Hospital
• Millinocket Regional Hospital
• Millinocket Regional Hospital
• Lisa S Milne, N.P.
• Caitlin Jill Morse
• Venkataraman Munusamy, M.D.
• Mohammad Hossein Niayesh, MD,FACS,FRCS
• Kwaku Owusu-Abrokwa, M.D.
• Gale Ann Paradis, DENTAL ASSISTANT

• Pharmacist in Millinocket, ME
• Providers in Millinocket, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.