Active NPI
Laura Minjin Moulton, RPH
- Pharmacist
- Murrieta, CA
National Provider Identifier
1568022408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80067
- Practice address
- 28150 Keller Rd
Murrieta, CA 92563-2432 - Phone
- (951) 672-5304
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 80067 | CA | Primary |
Addresses
Primary practice location
28150 Keller Rd
Murrieta, CA 92563-2432
Mailing address
40268 Via Reata
Murrieta, CA 92562-3861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1568022408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40268 VIA REATA",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925623861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28150 KELLER RD",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632432",
"telephone_number": "951-672-5304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTON",
"first_name": "LAURA",
"middle_name": "MINJIN",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.