Moulton'S Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH5000 Issued in FL

Legal business name

MOULTON'S PHARMACY, INC.

Practice address

648 N Ferdon Blvd
Crestview, FL 32536-2165

Phone

(850) 682-6136

Fax

(850) 682-6185

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Richard Curtis Moulton, RPH

Title

President

Phone

(850) 682-6136

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clinton Stephens, PHARMD.

  • Pharmacist
  • Crestview, FL
  • NPI 1538585195
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780789941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362165",
            "telephone_number": "850-682-6136",
            "fax_number": "850-682-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362165",
            "telephone_number": "850-682-6136",
            "fax_number": "850-682-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTON'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-682-6136",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH5000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1024568",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Morris, LCSW
• Jennifer Renee Moser, MPT
• Timothy Alan Moses, MD
• Paul Nicholas Motta, M.D.
• Moulton'S Pharmacy of Crestview, Inc.
• Khalid Mohamed Moussa, MD
• Tiffany Moye
• Angela Murphy
• Kelly Murphy, RBT
• Makenzie Michelle Murphy

• Community/Retail Pharmacy in Crestview, FL
• Providers in Crestview, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.