Moseley Drug Company Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MOSELEY DRUG COMPANY INC

Doing business as

Moseley Drug Company

Practice address

412 Johnson St. SE
Dawson, GA 39842-1523

Phone

(229) 995-2126

Fax

(229) 995-3042

NPI assigned

Jun 20, 2006

Last updated

Jun 18, 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

Dr. Amanda Lynn Martin, PHARM.D.NPI 1629680624

Title

Owner/Pharmacist

Phone

(229) 995-2126

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MOSELEY DRUG COMPANY 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.

• Amanda Martin, PHARM.D.

  • Pharmacist
  • Dawson, GA
  • NPI 1629680624
  NPD Authorized official
• Tara Sauls Jackson, PHARM.D.

  • Pharmacist
  • Dawson, GA
  • NPI 1063625184
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1689610594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5",
            "city": "DAWSON",
            "state": "GA",
            "postal_code": "39842",
            "telephone_number": "229-995-2126",
            "fax_number": "229-995-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 JOHNSON ST. SE",
            "city": "DAWSON",
            "state": "GA",
            "postal_code": "398421523",
            "telephone_number": "229-995-2126",
            "fax_number": "229-995-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSELEY DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "229-995-2126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006813",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032403A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOSELEY DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Sauls Jackson, PHARM.D.
• Rita Robinson James, NP
• Robert Walker Johnson, DMD
• Hailey Long, OD
• Amanda Martin, PHARM.D.
• Dipna Patel
• Shaniqua Powell
• Amanda Parnacott Roufs, PNP
• S & S Personal Care Home, LLC
• Katrina Freeman Sasine, DNP, APRN, FNP-C

• Pharmacy in Dawson, GA
• Providers in Dawson, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.