OrganizationActive
Crystal Pharmacy LLC
NPI 1225116239 · Pharmacist · Moultrie, GA
Crystal Pharmacy LLC is a Pharmacist organization in Moultrie, GA (NPI 1225116239).
Provider details
- NPI number
- 1225116239
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Scotty Jarvis, Managing Member(229) 985-4137
- License
- 2206 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
705 South Main St
Moultrie, GA 31768
Phone: (229) 985-4137
Fax: (229) 890-5968
Street-level locationGet directions
Mailing address
Po Box 8
Moultrie, GA 31776-0008
Other names (DBA / former)
- Doing business as
- Crystal Pharmacy
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2023-03-07
Frequently asked questions
- What is Crystal Pharmacy LLC's NPI number?
- Crystal Pharmacy LLC's National Provider Identifier (NPI) is 1225116239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Pharmacy LLC?
- Crystal Pharmacy LLC is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Crystal Pharmacy LLC located?
- Crystal Pharmacy LLC's practice location on file with NPPES is 705 South Main St, Moultrie, GA 31768.
- What is Crystal Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Crystal Pharmacy LLC is (229) 985-4137.
- Who is the authorized official for Crystal Pharmacy LLC?
- The authorized official listed on Crystal Pharmacy LLC's NPPES record is Scotty Jarvis, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Pharmacy LLC's NPI active?
- Yes — Crystal Pharmacy LLC's NPI (1225116239) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.