OrganizationActive
Moultrie Pharmacy at Caddo LLC
NPI 1841941093 · Community/Retail Pharmacy · Moulton, AL
Moultrie Pharmacy at Caddo LLC is a Community/Retail Pharmacy organization in Moulton, AL (NPI 1841941093).
Provider details
- NPI number
- 1841941093
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Benjamin Moultrie, Owner(256) 566-3174
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22747 Al Highway 24 Ste D
Moulton, AL 35650-8102
Phone: (256) 905-0030
Fax: (256) 905-0049
Street-level locationGet directions
Mailing address
22747 Al Highway 24 Ste D
Moulton, AL 35650-8102
Other names (DBA / former)
- Doing business as
- Moultrie Pharmacy at Caddo
Registry dates
- Enumerated
- 2022-01-10
- Last updated
- 2022-01-10
- Certified
- 2022-01-10
Frequently asked questions
- What is Moultrie Pharmacy at Caddo LLC's NPI number?
- Moultrie Pharmacy at Caddo LLC's National Provider Identifier (NPI) is 1841941093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moultrie Pharmacy at Caddo LLC?
- Moultrie Pharmacy at Caddo LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Moultrie Pharmacy at Caddo LLC located?
- Moultrie Pharmacy at Caddo LLC's practice location on file with NPPES is 22747 Al Highway 24 Ste D, Moulton, AL 35650-8102.
- What is Moultrie Pharmacy at Caddo LLC's phone number?
- The practice phone number listed in the NPPES registry for Moultrie Pharmacy at Caddo LLC is (256) 905-0030.
- Who is the authorized official for Moultrie Pharmacy at Caddo LLC?
- The authorized official listed on Moultrie Pharmacy at Caddo LLC's NPPES record is Benjamin Moultrie, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moultrie Pharmacy at Caddo LLC's NPI active?
- Yes — Moultrie Pharmacy at Caddo LLC's NPI (1841941093) is active in the NPPES registry as of the last update on 2022-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.