Moffettrx LLC
Moffettrx LLC is a healthcare organization registered as Community/Retail Pharmacy in Meridian, MS, holding Type 2 (organization) NPI 1114929296 since 2005. The authorized official on file is Richard Moffett, Pharmacist in Charge/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114929296 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Moffettrx LLC |
| Other name | <Unavail> |
| Practice address | 2000 24TH AVE, Meridian, MS, 39301 |
| Phone | 6016930033 |
| Fax | 6016930062 |
| Enumeration date | 2005-06-02 |
| Last updated in NPPES | 2022-04-27 |
Authorized official
| Name | Richard Moffett |
|---|---|
| Title | Pharmacist in Charge/Owner |
| Phone | 6016930033 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 03424-01MM | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2518629 | Other | — | NABP |
| 00330246 | Medicaid | MS | — |
Copy-ready billing details
Provider: Moffettrx LLC NPI: 1114929296 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2000 24TH AVE, Meridian, MS, 39301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255527628 | Leslie Hull | Individual | Pharmacist | Meridian, MS |
| 1043498181 | Hull'S Pharmacy Inc | Organization | Community/Retail Pharmacy | Meridian, MS |
| 1013631654 | Moffettrx LLC | Organization | Long Term Care Pharmacy | Meridian, MS |
Verify this record
Cross-check NPI 1114929296 against the authoritative CMS record: view Moffettrx LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Moffettrx LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-04-27.