NPI age
19 years
Enumerated 2006-11-01
● Active Type 2 · Organization
Crystal Pharmacy Llc
Crystal Pharmacy Llc is 1 of 8384 pharmacist organizations in Georgia.
Primary specialty
Pharmacist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jarvis
Managing Member
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
How this organization compares
Across 8384 active pharmacist providers in Georgia.
NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
705 South Main St
Moultrie, GA 31768
Mailing address
Po Box 8
Moultrie, GA 317760008
Authorized official
Scotty Jarvis, PHARMD
Managing Member
📞 2299854137
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jeffrey Jarvis, PHARMD Pharmacist NPI 1649366550
Specialties
-
Pharmacist PrimaryAn 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00025605A | |
| 01 | 1101942 | NABP |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Crystal Pharmacy
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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