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MOULTRIE PHARMACY
NPI 1740270099
Pharmacy - Community/Retail Pharmacy in St Augustine, FL

Active since October 27, 2005
3690 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086(904) 794-1399(904) 794-1193 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moultrie Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOULTRIE PHARMACY (NPI 1740270099) is a healthcare organization registered as a community/retail pharmacy in St Augustine, Florida and active in the NPI registry since October 2005. The organization lists Delaine Mccarty, Owner, as its authorized official.

NPPES Registry Identity

NPI1740270099
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMOULTRIE PHARMACY INC
Location Address3690 US HIGHWAY 1 SSt Augustine, FL 32086-6498
Mailing Address3690 Us Highway 1 SSt Augustine, FL 32086-6498 · (904) 794-1399 · Fax (904) 794-1193
Phone(904) 794-1399
Fax(904) 794-1193
Organization SubpartNo
Authorized OfficialDelaine MccartyOwner · (904) 794-1399
Enumeration DateOctober 27, 2005
Last NPPES UpdateMarch 29, 2017
✔ NPI 1740270099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH19146
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
3690 US HIGHWAY 1 S, St Augustine, FL 32086
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Other Names 1

Doing Business AsMoultrie Pharmacy

Other Identifiers 5

Medicare NSC4754970001
Other2015438Pk
Medicaid025956001FL
Medicaid686878996FL
Medicaid025956000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
147 services146 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
85 services85 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Moultrie Pharmacy carries, from the Medicare DMEPOS supplier directory.

Moultrie Pharmacy

DMEPOS supplier · St Augustine, FLOperated by Moultrie Pharmacy Inc
✔

Accepts Medicare assignment

Moultrie Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20487035
Medicare Participant SinceOctober 11, 2014
Supplier Location3690 Us 1 SSt Augustine, FL 32086
Phone(904) 794-1399
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOULTRIE PHARMACY INC
Pharmacy (Long Term Care Pharmacy)
3690 US HIGHWAY 1 S
ST AUGUSTINE, FL 32086
St. Johns County (904) 794-1399

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moultrie Pharmacy Inc's NPI number?

The NPI number for Moultrie Pharmacy Inc is 1740270099. It was assigned to this organization in the NPPES registry on October 27, 2005. The provider is doing business as Moultrie Pharmacy.

Where is Moultrie Pharmacy Inc located?

Moultrie Pharmacy Inc is located at 3690 Us Highway 1 S, St Augustine, FL 32086. The listed phone number is (904) 794-1399.

What is Moultrie Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Moultrie Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Moultrie Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Moultrie Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Moultrie Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moultrie Pharmacy Inc was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.