Active NPI
Stephen Joseph Mouton, PHARMD
- Pharmacist
- Grovetown, GA
National Provider Identifier
1699906644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024381
- Practice address
- 435 Lewiston Rd
Grovetown, GA 30813-4221 - Phone
- (706) 619-3430
- Fax
- (706) 619-3432
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 024381 | GA | Primary |
Addresses
Primary practice location
435 Lewiston Rd
Grovetown, GA 30813-4221
Mailing address
435 Lewiston Rd
Grovetown, GA 30813-4221
Phone (706) 619-3430
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024381 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1699906644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 LEWISTON RD",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308134221",
"telephone_number": "706-619-3430",
"fax_number": "706-619-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 LEWISTON RD",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308134221",
"telephone_number": "706-619-3430",
"fax_number": "706-619-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUTON",
"first_name": "STEPHEN",
"middle_name": "JOSEPH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "024381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.