Bradley Moore

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

063566 Issued in NY

Practice address

4417 Vestal Pkwy E
Vestal, NY 13850-3556

Phone

(607) 770-7365

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brad Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1437061579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 QUINN RD",
            "city": "FRIENDSVILLE",
            "state": "PA",
            "postal_code": "188188743",
            "telephone_number": "607-763-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503556",
            "telephone_number": "607-770-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NY",
            "license": "063566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAD",
            "last_name": "MOORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taseer A Minhas, MD
• Hasan Mahmood Mirza, MD
• Alison Mizera-Micholychak, NP
• Zoe Moffett
• Patricia M Monahan, M.S.ED.
• Romeo Morales, MD
• Melissa Ann Most, NP
• Alyssa Nicole Motter, OD
• Richard Motter, OD
• Inna Mrsic, FNP-C

• Ambulatory Care Pharmacist in Vestal, NY
• Providers in Vestal, NY by specialty
• Ambulatory Care Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.