Moultrie Pharmacy Inc
Community/Retail Pharmacy
3690 Us Highway 1 S, St Augustine
Florida, 32086-6498
904-794-1399 904-794-1193
Moultrie Pharmacy Inc is a Community/Retail Pharmacy in St Augustine, Florida. It is located at 3690 Us Highway 1 S, St Augustine and it's customer support contact number is 904-794-1399. The authorized person of Moultrie Pharmacy Inc is Delaine Mccarty who is Owner of the pharmacy and his contact number is 904-794-1399. Active license number of Moultrie Pharmacy Inc is PH19146 for Community/Retail Pharmacy in Florida. Moultrie Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Moultrie Pharmacy Inc is 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.
Pharmacy Details:
Moultrie Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Moultrie Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 3690 Us Highway 1 S, St Augustine,
Florida, 32086-6498 |
| Phone: | 904-794-1399 |
| Fax: | 904-794-1193 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Delaine Mccarty |
| Position: | Owner |
| Contact Number: | 904-794-1399 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1740270099 |
| NPI Enumeration Date: | 27 Oct, 2005 |
| NPI Last Update On: | 29 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moultrie Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH19146 | Florida | Primary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 025956000 | Medicaid | Florida | |
| 025956001 | Medicaid | Florida | |
| 2015438 | Other | | Pk |
| 686878996 | Medicaid | Florida | |
Medicare Enrollment:
Moultrie Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2961617857 | O20100930098350 | Moultrie Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 2961617857 | O20141023002495 | Moultrie Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Moultrie Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Enteral Nutrients | • Nebulizer Equipment & Supplies |
| • Ostomy Supplies | • Surgical Dressings |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3690 Us Highway 1 S,
St Augustine, Florida |
| Zip: | 32086-6498 |
| Phone Number: | 904-794-1399 |
| Fax Number: | 904-794-1193 |
Patients can reach Moultrie Pharmacy Inc at
3690 Us Highway 1 S, St Augustine, Florida or can
call on customer care at 904-794-1399.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.