Active NPI
William Clark Crowder Jr., DPH
- Pharmacist
- Lawrenceburg, TN
National Provider Identifier
1003410796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6263
- Practice address
- 246 E Gaines St
Lawrenceburg, TN 38464-3343 - Phone
- (931) 762-0800
- Fax
- (931) 762-4939
- NPI assigned
- Nov 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6263 | TN | Primary |
Addresses
Primary practice location
246 E Gaines St
Lawrenceburg, TN 38464-3343
Mailing address
198 Walden Rd
Lawrenceburg, TN 38464-3094
Phone (931) 629-3693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Tennessee CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Lawrenceburg, TN
- NPI 1225131923
-
- Pharmacy
- Sevierville, TN
- NPI 1891524815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1003410796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 WALDEN RD",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643094",
"telephone_number": "931-629-3693",
"fax_number": "931-762-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 E GAINES ST",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643343",
"telephone_number": "931-762-0800",
"fax_number": "931-762-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "WILLIAM",
"middle_name": "CLARK",
"name_suffix": "Jr.",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "6263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.