NPI age
19 years
Enumerated 2006-08-30
● Active
Type 1 · Individual
Stacey Moore
Moore is 1 of 47 pharmacist providers in Tifton and 1 of 8384 in Georgia.
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-11-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8384 active pharmacist providers in Georgia.
NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
111 8th St E
Tifton, GA 317944099
Mailing address
366 Goss Dr
Ashburn, GA 317145111
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) | 05012015 |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 5 new pharmacist providers have been added in Tifton in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.