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
Mailing address179 Kent St, Brookline, MA 02446-5463