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CRYSTAL PHARMACY
NPI 1225116239
Pharmacist in Moultrie, GA

Active since November 01, 2006
705 SOUTH MAIN ST, MOULTRIE, GA 31768(229) 985-4137(229) 890-5968 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Crystal Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL PHARMACY (NPI 1225116239) is a healthcare organization registered as a pharmacist in Moultrie, Georgia and active in the NPI registry since November 2006. The organization lists Scotty Jarvis, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1225116239
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameCRYSTAL PHARMACY LLC
Location Address705 SOUTH MAIN STMoultrie, GA 31768
Mailing AddressPo Box 8Moultrie, GA 31776-0008 · (229) 985-4137 · Fax (229) 890-5968
Phone(229) 985-4137
Fax(229) 890-5968
Organization SubpartNo
Authorized OfficialScotty JarvisManaging Member · (229) 985-4137
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1225116239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · 2206
Definition
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.
705 SOUTH MAIN ST, Moultrie, GA 31768
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Other Names 1

Doing Business AsCrystal Pharmacy

Other Identifiers 2

Medicaid00025605AGA
Other1101942Nabp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY SCOTT JARVIS PHARMD
Pharmacist
705 SOUTH MAIN ST
MOULTRIE, GA 31768
Colquitt County (229) 985-4137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Pharmacy LLC's NPI number?

The NPI number for Crystal Pharmacy LLC is 1225116239. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Crystal Pharmacy.

Where is Crystal Pharmacy LLC located?

Crystal Pharmacy LLC is located at 705 South Main St, Moultrie, GA 31768. The listed phone number is (229) 985-4137.

What is Crystal Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Crystal Pharmacy LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.