Moyes Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE005984 Issued in GA

Legal business name

MOYES DRUG STORE INC

Doing business as

Moyes Drug Store

Practice address

162 E Railroad St SE
Pelham, GA 31779-2235

Phone

(229) 294-4058

Fax

(229) 294-1134

NPI assigned

Nov 5, 2006

Last updated

Jan 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hayden Moye

Title

Pres/Ceo

Phone

(229) 294-4058

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MOYES DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alvin Riland Jones III, RPH

  • Pharmacist
  • Pelham, GA
  • NPI 1073804597
  NPD
• Thomas Carbert Moye

  • Pharmacist
  • Camilla, GA
  • NPI 1922371707
  NPD

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1205915626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E RAILROAD ST SE",
            "city": "PELHAM",
            "state": "GA",
            "postal_code": "317792235",
            "telephone_number": "229-294-4058",
            "fax_number": "229-294-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E RAILROAD ST SE",
            "city": "PELHAM",
            "state": "GA",
            "postal_code": "317792235",
            "telephone_number": "229-294-4058",
            "fax_number": "229-294-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYES DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-05",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "MOYE",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "229-294-4058"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE005984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012704",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00247849A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOYES DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Paul Lane, LPC
• Mary Carolyn Watson (Mary Watson MD)
• McLean Cares Inc
• Holly McMullen, PHARM.D.
• Mitchell County Hospital (The Pelham Clinic)
• Pelham Chiropractic Clinic
• Phoebe Primary Care of Pelham
• Phoebe Putney Memorial Hospital, Inc. (Phoebe Family Medical Center - Pelham)
• Promed Diagnostic LLC
• Relyance Home Care Solutions, LLC

• Community/Retail Pharmacy in Pelham, GA
• Providers in Pelham, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.