OrganizationActive
Moultrie Pharmacy Inc
NPI 1891656203 · Long Term Care Pharmacy · St Augustine, FL
Moultrie Pharmacy Inc is a Long Term Care Pharmacy organization in St Augustine, FL (NPI 1891656203).
Provider details
- NPI number
- 1891656203
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Moultrie Pharmacy Inc
- Organization subpart
- Yes
- Authorized official
- Kevin Duane, Owner(904) 765-3531
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
3690 US Highway 1 S
St Augustine, FL 32086-6498
Phone: (904) 794-1399
Street-level locationGet directions
Mailing address
7707 Merrill Rd Unit 8664
Jacksonville, FL 32239-7728
Other names (DBA / former)
- Doing business as
- Moultrie Pharmacy Ltc
Registry dates
- Enumerated
- 2025-11-24
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Moultrie Pharmacy Inc's NPI number?
- Moultrie Pharmacy Inc's National Provider Identifier (NPI) is 1891656203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moultrie Pharmacy Inc?
- Moultrie Pharmacy Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Moultrie Pharmacy Inc located?
- Moultrie Pharmacy Inc's practice location on file with NPPES is 3690 US Highway 1 S, St Augustine, FL 32086-6498.
- What is Moultrie Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Moultrie Pharmacy Inc is (904) 794-1399.
- Who is the authorized official for Moultrie Pharmacy Inc?
- The authorized official listed on Moultrie Pharmacy Inc's NPPES record is Kevin Duane, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moultrie Pharmacy Inc's NPI active?
- Yes — Moultrie Pharmacy Inc's NPI (1891656203) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.