Moby RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50001426 Issued in ME

Legal business name

MOBY RX

Doing business as

Moby Rx

Practice address

225 Waterman Dr
South Portland, ME 04106-3634

Phone

(207) 899-4600

Fax

(207) 899-4613

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Momenjan AbdullayofNPI 1801102512

Title

President/Owner

Phone

(207) 899-4600

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Moby Rx Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Momenjan T Abdullayof, PHARMACIST

  • Pharmacist
  • South Portland, ME
  • NPI 1801102512
  NPD (past) Authorized official

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1225328669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WATERMAN DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063634",
            "telephone_number": "207-899-4600",
            "fax_number": "207-899-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WATERMAN DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063634",
            "telephone_number": "207-899-4600",
            "fax_number": "207-899-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBY RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "ABDULLAYOF",
        "authorized_official_first_name": "MOMENJAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "207-899-4600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001426",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moby Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minuteclinic Diagnostic of Maine, LLC
• Tammy Miranda, LCPC-C, CBIS
• Mishla Dean, LCSW, LLC
• Lyndsay Mitsopoulos, IBCLC
• John Mladucky, PA-C
• Judith Moll, LCSW
• Molly Gordon, SLP, LLC (Molly Gordon, SLP)
• Keelan Monroe, RDH
• Michelle Elise Montoney, LCPC-C
• Ashley Moore, LCPC

• Community/Retail Pharmacy in South Portland, ME
• Providers in South Portland, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.