National Provider Identifier

Jeremiah Moore, PHARM.D.

Jeremiah Moore, PHARM.D. is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 273-4767.

NPI 1568880169Rochester, NYPharmacist

Profile Overview

NPI
1568880169
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
April 01, 2014
Last Updated
April 01, 2014

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 273-4767

Mailing Address

  • 601 Elmwood Ave Box 617
  • Rochester, NY 14642-0001

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1568880169
Entity Type
Individual
Last Name
Moore
First Name
Jeremiah
Credential
PHARM.D.
Mailing Street Address
601 Elmwood Ave Box 617
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 273-4767
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 273-4767
Practice Fax
(585) 276-1089
Enumeration Date
April 01, 2014
Last Updated
April 01, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)