NPI age
19 years
Enumerated 2006-08-30
● Active Type 2 · Organization
Moon'S Pharmacy Ltc
Moon'S Pharmacy Ltc is 1 of 321 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Maraman
Owner
Last NPPES update
2014-03-26
Source: monthly bulk 2026-05
How this organization compares
Across 321 active pharmacy providers in Georgia.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
711 2nd St W
Tifton, GA 317944201
Mailing address
717 B W 2nd St
Tifton, GA 31794
Authorized official
Catherine M. Maraman, PHARMD
Owner
📞 2293823711
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00003855C | |
| 01 | 1152482 | NDCP |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Moon's Pharmacy Inc
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.