Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Ray Moore, CPHT

Individual provider Pharmacy Technician · NPI 1760081533

Mr. Michael Ray Moore, CPHT is a Pharmacy Technician in Brookline, Massachusetts. Practices as a sole proprietor. Licensed in Montana, Tennessee and Washington.

Licensed in
MT, TN, WA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

179 Kent St
Brookline, MA 02446-5463
Phone: (617) 299-9131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence PHA-PTE-LIC-83395 (MT)
Pharmacy Technician Taxonomy 183700000X · Licence 39282 (TN)
Pharmacy Technician Taxonomy 183700000X · Licence VA61082215 (WA)

Record details

NPI number1760081533
Entity typeIndividual (Type 1)
GenderMale
Credentials CPHT
Sole proprietorYes
NPI enumeratedOctober 22, 2020
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024