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MOONS PHARMACY INC NPI 1598858508


NPI Information

NPI: 1598858508
Provider Name: MOONS PHARMACY INC

Doing Business As: MOONS PHARMACY INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
717 2ND ST W
TIFTON, GA
ZIP 31794
Phone: (229) 382-3711
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MOONS PHARMACY INC is a community/retail pharmacy pharmacy in Tifton, GA. The provider is a 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MOONS PHARMACY INC NPI is 1598858508. The provider is registered as an organization entity type.
The provider Is Doing Business As Moons Pharmacy Inc.

The provider's business location address is:

717 2ND ST W
TIFTON, GA
ZIP 31794-201
Phone: (229) 382-3711
Fax: (229) 387-7521

The provider's authorized official is Floyd Moon .
The authorized official title is Co-owner and has the following contact phone number (229) 382-3711.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 9/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPHRE003394GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100033855BMEDICAIDGEORGIA
22012857OTHERPK
300033855AMEDICAIDGEORGIA
40146380001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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