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MOULTRIE PHARMACY AT CADDO
NPI 1841941093
Pharmacy - Community/Retail Pharmacy in Moulton, AL

Active since January 10, 2022CLIA 01D2273583 · Waiver
22747 AL HIGHWAY 24 STE D, MOULTON, AL 35650(256) 905-0030(256) 905-0049 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Moultrie Pharmacy At Caddo NPPES

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

MOULTRIE PHARMACY AT CADDO (NPI 1841941093) is a healthcare organization registered as a community/retail pharmacy in Moulton, Alabama and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Benjamin David Moultrie, Owner, as its authorized official.

NPPES Registry Identity

NPI1841941093
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMOULTRIE PHARMACY AT CADDO LLC
Location Address22747 AL HIGHWAY 24 STE DMoulton, AL 35650-8102
Mailing Address22747 Al Highway 24 Ste DMoulton, AL 35650-8102 · (256) 905-0030 · Fax (256) 905-0049
Phone(256) 905-0030
Fax(256) 905-0049
Organization SubpartNo
Authorized OfficialBenjamin David MoultrieOwner · (256) 566-3174
Enumeration DateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
✔ NPI 1841941093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
22747 AL HIGHWAY 24 STE D, Moulton, AL 35650
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Other Names 1

Doing Business AsMoultrie Pharmacy At Caddo

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2273583

Moultrie Pharmacy At Caddo · Moulton, AL
Active · expires Dec 14, 2026
CLIA Number01D2273583
Laboratory TypePharmacy
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorMr. Benjamin D. Moultrie
Laboratory Phone(256) 905-0030
Laboratory LocationMoultrie Pharmacy At Caddo22747 Al Highway 24 Suite D, Moulton, AL 35650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 At Caddo LLC's NPI number?

The NPI number for Moultrie Pharmacy At Caddo LLC is 1841941093. It was assigned to this organization in the NPPES registry on January 10, 2022. The provider is doing business as Moultrie Pharmacy At Caddo.

Where is Moultrie Pharmacy At Caddo LLC located?

Moultrie Pharmacy At Caddo LLC is located at 22747 Al Highway 24 Ste D, Moulton, AL 35650. The listed phone number is (256) 905-0030.

What is Moultrie Pharmacy At Caddo LLC's specialty?

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

Does Moultrie Pharmacy At Caddo LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2273583) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Moultrie Pharmacy At Caddo LLC 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 46 other insurers list Moultrie Pharmacy At Caddo LLC 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 At Caddo LLC was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.