Active NPI
Amanda Moulton, PHARM, D.
- Pharmacist
- Dothan, AL
National Provider Identifier
1992196299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14335
- Practice address
- 3850 W Main St
Dothan, AL 36305-1045 - Phone
- (334) 794-6112
- NPI assigned
- Feb 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14335 | AL | Primary |
| Pharmacist | 183500000X | 23513 | GA | |
| Pharmacist | 183500000X | 42288 | FL |
Addresses
Primary practice location
3850 W Main St
Dothan, AL 36305-1045
Mailing address
3850 W Main St
Dothan, AL 36305-1045
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 |
|---|---|---|---|
| 14335 | AL | MD | Pharmacist |
| 42288 | FL | MD | Pharmacist |
| 23513 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1992196299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051045",
"telephone_number": "334-794-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTON",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PHARM, D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14335",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "23513",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "42288",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.