Steven Theodore Mougeot, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS43645 Issued in FL

Practice address

2683 Saint Johns Bluff Rd S Ste 135
Jacksonville, FL 32246

Phone

(904) 513-4075

NPI assigned

Jan 21, 2013

Last updated

Jul 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew 725 Inc

  • Community/Retail Pharmacy
  • Jacksonville, FL
  • NPI 1477030674
  NPD (past) Authorized official
• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1093053498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 SAINT JOHNS BLUFF RD S STE 135",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463765",
            "telephone_number": "904-513-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 SAINT JOHNS BLUFF RD S STE 135",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32246",
            "telephone_number": "904-513-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2771 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322255549",
            "country_code": "US",
            "telephone_number": "904-641-1451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUGEOT",
        "first_name": "STEVEN",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Mott, ARNP
• Sri Moturu, DO
• Carol Anne Motycka, PHARM.D.
• Debra L Motycka, PA-C
• Kaitlyn Motyka, LAT, ATC
• Susan Vereeda Moughton, APRN
• Alyssa Kay Moulds, CAA
• Tiffany Nicole Moulterie, D.C
• Moudcaer S Mounajjed, DO
• Nita Mounce

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.