Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467057471 Individual Practitioner Female Practitioner

Ellie Moore

Pharmacist • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Ellie Moore is a registered healthcare professional specializing in Pharmacist in Roanoke, VA. Practice services are available at 4400 BRAMBLETON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4400 Brambleton Ave

Roanoke, VA 240183427

Telephone 5409896633
Associated Practice Facility / Clinic
🏢 Virginia Cvs Pharmacy Llc Facility NPI 1336242064

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
227 Specialists

Practicing in Roanoke, VA (6716 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License VA 0202218919

An 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, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1215531736

Doctor of Pharmacy (Pharm.D.)

NPI 1235734088

Registered Pharmacist

NPI 1245967439

Doctor of Pharmacy (Pharm.D.)

NPI 1558966390
NPI 1841895794

Doctor of Pharmacy (Pharm.D.)

NPI 1871180844

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated December 10, 2025

Recorded as ELLIE MOORE

NPI Profile Active November 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2020

Registered at 4400 BRAMBLETON AVE, ROANOKE, VA 240183427 (Tel: 5409896633)

📍
Updated Business Mailing Address November 30, 2020

Registered at 4400 BRAMBLETON AVE, ROANOKE, VA 240183427

👤
Provider Name / Credentials Updated November 30, 2020

Recorded as SYDNEY BOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2020

Pharmacist (License #0202218919 in VA)

🟢
Initial NPI Registration & Enumeration November 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467057471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2020
Last Update: December 10, 2025
Sole Proprietor: No

Mailing Address

4400 Brambleton Ave

Roanoke, VA 240183427

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.