NPI age
19 years
Enumerated 2006-10-02
● Active Type 2 · Organization
Clb Pharmacy Group Llc
Clb Pharmacy Group Llc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brown
Owner
Last NPPES update
2024-06-28
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
3
In the 65% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
717 2nd St W
Tifton, GA 317944201
Mailing address
717 2nd St W
Tifton, GA 317944201
Authorized official
Lucas Brown
Owner
📞 2295636689
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Marcy Corkern, RPH Pharmacist NPI 1235203167
- Catherine Maraman, PHARMA D Pharmacist NPI 1548424401
- Floyd Moon, PHARMD Pharmacist NPI 1235662263
- Emily Tyus, PHARMD Pharmacist NPI 1740755677
Specialties
-
Pharmacy PrimaryA 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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
PharmacyA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2012857 | PK |
| 05 (GA) | 00033855A | |
| 05 (GA) | 00033855B |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Friendly City Pharmacy on 2nd
-
MOONS PHARMACY INC
Practice context
Multi-provider organization. 4 individual providers 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.