MICHAEL D MOULTON (NPI# 1558614354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558614354 |
| Entity Type | Individual |
| Full Name | MICHAEL D MOULTON |
| Credential | PHARMD, RPH |
| Practice Address |
8400 Astronaut Blvd Cape Canaveral FL 32920-4302 |
| Practice Telephone | 3217837883 |
| Practice Fax Number | 3217837889 |
| Mailing Telephone | 3217837883 |
| Mailing Fax Number | 3217837889 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS 46233 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174614911 | Michael Webb Moulton | Pharmacist | 300 Faulkner Dr, Bay Minette, AL 36507-2771 | 2006-09-27 |
| 1962907071 | Michael Nicholas Moulton | General Practice | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2018-03-29 |
| 1710999024 | Michael J Moulton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-08-13 |
| 1427085802 | Michael R Moulton | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2006-06-28 |
| 1558397489 | Michael Lowell Moulton | Internal Medicine | 813 Founders Park Dr E, Springdale, AR 72762-6314 | 2006-06-23 |
| 1952306102 | Michael Paul Moulton | Emergency Medicine | 4402 Shipyard Blvd, Wilmington, NC 28403-6161 | 2005-06-15 |
| Street Address |
8400 ASTRONAUT BLVD |
| City | CAPE CANAVERAL |
| State | FL |
| Zip Code | 32920-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336498377 | Md Moulton LLC | Pharmacy | 8400 Astronaut Blvd, Cape Canaveral, FL 32920-4302 | 2012-09-06 |
| 1861043648 | David Martin | Nurse Practitioner | 8400 Astronaut Blvd, Cape Canaveral, FL 32920-4302 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942520739 | Ez Supply | Durable Medical Equipment & Medical Supplies | 809 West Central Blvd, Cape Canevaral, FL 32920 | 2010-06-03 |
| 1609193119 | Karina Munoz | Dentist | 5645 N. Atlantic Ave., Suite #108, Cape Canaveral, FL 32920 | 2010-04-23 |
| 1659598274 | John C. Devine | Military Health Care Provider | Cgc Vigilant (wmec-617), 9235 Grouper Road, Port Canaveral, FL 32920 | 2007-04-18 |
| 1386766020 | Amanda Reneau Lovell | Licensed Practical Nurse | 7008 Sevilla Ct, Apt 206, Cape Canaveral, FL 32920 | 2007-04-04 |
| 1902809106 | Homi S Cooper | Preventive Medicine | 390 Challenger Road, Cape Canaveral, FL 32920 | 2005-05-23 |
| 1013035070 | Nitin M Hate | Preventive Medicine | 390 Challenger Road, Cape Canaveral, FL 32920 | 2007-03-27 |
| 1467878231 | Katie Blizzard | Occupational Therapy Assistant | 106 E Central Blvd, Cape Canaveral, FL 32920-2606 | 2014-03-17 |
| 1598237869 | Gasnet Inc | Nurse Anesthetist, Certified Registered | 355 Polk Ave Apt 7, Cape Canaveral, FL 32920-3061 | 2018-12-26 |
| 1851809800 | Tiffany Garcia | Assistant Behavior Analyst | 7201 Ridgewood Ave Apt 21, Cape Canaveral, FL 32920-3175 | 2018-01-11 |
| 1841473246 | Amy Miller | Nurse's Aide | 212 Lincoln Ave, Suite # 3, Cape Canaveral, FL 32920-3297 | 2007-12-10 |
| Find all providers in zip 32920 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497024202 | Grace Rodes | Pharmacist | 7108 Marbella Ct Unit 403, Cape Canaveral, FL 32920-3794 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CANAVERAL |
| Zip Code | 32920 |
Please comment or provide details below to improve the information on MICHAEL D MOULTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.