P Praxis·MD
● Active Type 1 · Individual

Kevin Moultrie

Pharmacy Technician·Woodstock, GA· NPI 1306290069 · Enumerated 2016 · 10 years on NPI
Moultrie is 1 of 2 pharmacy technician providers in Woodstock and 1 of 192 in Georgia.
NPI age
10 years
Enumerated 2016-04-19
Primary specialty
Pharmacy Technician
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-04-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 192 active pharmacy technician providers in Georgia.

NPI age
10 years
↑ 5 yr above median (5 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
12182 Highway 92
Woodstock, GA 301884885
📞 7705919402
Mailing address
12182 Highway 92
Woodstock, GA 301884885
📞 7705919402

Specialties

  • Pharmacy Technician Primary
    A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
    GA license #PHTC014196 taxonomy 183700000X

Practice context

Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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