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CRYSTAL PHARMACY
NPI 1790877942
Pharmacy - Community/Retail Pharmacy in Moultrie, GA

Active since September 28, 2006
705 S MAIN ST, MOULTRIE, GA 31768(229) 985-4137(229) 890-5968 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Pharmacy NPPES

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

CRYSTAL PHARMACY (NPI 1790877942) is a healthcare organization registered as a community/retail pharmacy in Moultrie, Georgia and active in the NPI registry since September 2006. The organization lists Scotty Jarvis, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1790877942
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCRYSTAL PHARMACY LLC
Location Address705 S MAIN STMoultrie, GA 31768-5432
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 DateSeptember 28, 2006
Last NPPES UpdateNovember 25, 2014
✔ NPI 1790877942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE002206
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
705 S MAIN ST, Moultrie, GA 31768
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Other Names 1

Doing Business AsCrystal Pharmacy

Other Identifiers 3

Medicare NSC5785760001
Medicaid393761900AGA
Other2016008Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

CRYSTAL PHARMACY, LLC
Pharmacist
705 S 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 1790877942. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is doing business as Crystal Pharmacy.

Where is Crystal Pharmacy LLC located?

Crystal Pharmacy LLC is located at 705 S 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 Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Crystal Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Crystal Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Pharmacy LLC was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.