Active NPI
Moyes Pharmacy Inc
- Community/Retail Pharmacy
- Jackson, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE010428
- Legal business name
- MOYES PHARMACY INC
- Practice address
- 227 S Mulberry St
Jackson, GA 30233-2058 - Phone
- (770) 957-5561
- Fax
- (678) 792-4866
- NPI assigned
- Mar 1, 2018
- Last updated
- Dec 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loren Pierce
- Title
- Ceo/Owner
- Phone
- (770) 474-7693
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE010428 | GA | Primary |
Addresses
Primary practice location
227 S Mulberry St
Jackson, GA 30233-2058
Mailing address
PO Box 580
McDonough, GA 30253-0580
Phone (770) 474-7693
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176248 | Other | PK | |
| 003202981A | Medicaid | GA |
Other names 1
- Moye's Pharmacy - Jackson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130827000217 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214054907 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: McDonough, GA; Locust Grove, GA; Jackson, GA; Hampton, GA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Moye's Pharmacy- Jodeco
- Pharmacist
- Stockbridge, GA
- NPI 1881035582
O20130827000217
-
dba Moyes Health Mart Pharmacy McDonough
- Community/Retail Pharmacy
- McDonough, GA
- NPI 1336166321
O20130827000217
-
dba Moyes Pharmacy Jodeco
- Pharmacist
- Stockbridge, GA
- NPI 1063432920
O20130827000217
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2185318 | Moyes Pharmacy | Certificate of waiver | Jun 1, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Moyes Pharmacy Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Moye's Pharmacy McD LTC
- Long Term Care Pharmacy
- McDonough, GA
- NPI 1952927386
Locations
34 E Main St S
Hampton, GA 30228
Phone (770) 946-5172
227 S Mulberry St
Jackson, GA 30233
Phone (770) 957-5561
3798 Highway 42 S
Locust Grove, GA 30248
Phone (770) 957-6004
85 Claire Ct
McDonough, GA 30252
Phone (404) 519-8268
106 Rock Quarry Rd
Ste A
Stockbridge, GA 30281
Phone (770) 507-1559
1920 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (770) 507-1234
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Stockbridge, GA
- NPI 1053470351
-
- Pharmacist
- Jackson, GA
- NPI 1902428584
-
- Pharmacist
- McDonough, GA
- NPI 1861481582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1912409475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 580",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302530580",
"telephone_number": "770-474-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 S MULBERRY ST",
"city": "JACKSON",
"state": "GA",
"postal_code": "302332058",
"telephone_number": "770-957-5561",
"fax_number": "678-792-4866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOYES PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-01",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "LOREN",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "770-474-7693"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE010428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2176248",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003202981A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Moye's Pharmacy - Jackson",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jackson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.