MOULTRIE PHARMACY INC
NPI 1891656203
Pharmacy - Long Term Care Pharmacy in St Augustine, FL

Q: What is Moultrie Pharmacy Inc's NPI number?

The NPI number for Moultrie Pharmacy Inc is 1891656203. It was assigned to this organization in the NPPES registry on November 24, 2025. The provider is doing business as Moultrie Pharmacy Ltc.

Q: What is Moultrie Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since November 24, 2025

3690 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086(904) 794-1399 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Moultrie Pharmacy Inc NPPES

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

MOULTRIE PHARMACY INC (NPI 1891656203), doing business as Moultrie Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in St Augustine, Florida and active in the NPI registry since November 2025. The organization lists Kevin Joseph Duane, Owner, as its authorized official.

NPPES Registry Identity

NPI1891656203

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameMOULTRIE PHARMACY INC

Location Address3690 US HIGHWAY 1 SSt Augustine, FL 32086-6498

Mailing Address7707 Merrill Rd Unit 8664Jacksonville, FL 32239-7728

Phone(904) 794-1399

Organization SubpartYes

Authorized OfficialKevin Joseph DuaneOwner · (904) 765-3531

Enumeration DateNovember 24, 2025

NPPES CertifiedNovember 24, 2025

✔ NPI 1891656203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3690 US HIGHWAY 1 S, St Augustine, FL 32086

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Other Names 1

Doing Business AsMoultrie Pharmacy Ltc

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 (Community/Retail 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 1891656203. It was assigned to this organization in the NPPES registry on November 24, 2025. The provider is doing business as Moultrie Pharmacy Ltc.

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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Moultrie Pharmacy Inc was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.