John Barson Moulton II, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

17772 Issued in AL

Practice address

343 Lee Road 593
Phenix City, AL 36870-7943

Phone

(706) 442-1377

NPI assigned

Feb 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1831581909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 LEE ROAD 593",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368707943",
            "telephone_number": "706-442-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 LEE ROAD 593",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368707943",
            "telephone_number": "706-442-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "JOHN",
        "middle_name": "BARSON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17772",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF PHARMACY",
            "identifier": "17772",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "RPH028223",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wade Lucas Moore, PHARMD
• Alicia Lynn Morris, NP
• Richard Chase Morris, LPC
• Sheena Janea Morris
• Jordan Moses, ATC, CSCS, USAW
• Rebecca Ashley Moulton, PHARM.D.
• Reuben Tafadzwa Moyana, D.M.D
• Mrs Homecare, Inc.
• Rachel Murphy, MSW
• My Psy LLC

• All providers in Phenix City, AL
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.