Megan Ann Marie Moulton, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

069502 Issued in NY

Practice address

303 Main St
Massena, NY 13662-1903

Phone

(315) 764-0204

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

Yes

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

Locations

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

• Walgreen Co

  • Pharmacy
  • Potsdam, NY
  • NPI 1588734552
  NPD
• Walgreen Co

  • Pharmacy
  • Massena, NY
  • NPI 1619164431
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1235851502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MARKET ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761221",
            "telephone_number": "315-265-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAIN ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621903",
            "telephone_number": "315-764-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "MEGAN",
        "middle_name": "ANN MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Mead, ATC
• Caitlin Miller, OTR/L
• Shannon Joan Miller, OTA
• Mary Elizabeth Mittiga, RD
• Elizabeth Joan Morgan, RD
• Brittany E Murphy, RN
• Betty M Nightingale
• Michelle L Niles
• North Country Adult Medicine PLLC
• Emmanuel Uzoma Nwogu, D.O

• Pharmacist in Massena, NY
• Providers in Massena, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.