NPI age
19 years
Enumerated 2006-12-22
● Active
Type 1 · Individual
MR. Randall R Moore, RPH
Moore is 1 of 57 pharmacist providers in Lewiston and 1 of 1739 in Idaho.
Primary specialty
Pharmacist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1739 active pharmacist providers in Idaho.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
720 16th Ave
Lewiston, ID 835013768
Mailing address
19054 Pine Ridge Ln
Lewiston, ID 835015274
Specialties
-
Pharmacist PrimaryAn individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P3855 | STATE LICENSE NO |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new pharmacist provider has been added in Lewiston in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.