Crimson Care Pharmacy Group II, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31656 Issued in TX

Legal business name

CRIMSON CARE PHARMACY GROUP II, LLC

Practice address

1505 S Broadway St
Sulphur Springs, TX 75482-4921

Phone

(903) 885-2639

Fax

(903) 335-8989

NPI assigned

Jan 5, 2010

Last updated

Jun 12, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nan Bass

Title

CPHT, Office Manager

Phone

(903) 885-2639

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Cody Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crimson Care Pharmacy Group II, LLC

  dba Cody Drug

  • Long Term Care Pharmacy
  • Sulphur Springs, TX
  • NPI 1821501016
  NPD tax ID

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Clayton Allen, PHARMD

  • Pharmacist
  • Sulphur Springs, TX
  • NPI 1225766934
  NPD (past)
• Sadie Elizabeth Chester

  • Student in an Organized Health Care Education/Training Program
  • Sulphur Springs, TX
  • NPI 1417623901
  NPD (past)
• Stacy Alan Cody, RPH

  • Pharmacist
  • Sulphur Springs, TX
  • NPI 1437367877
  NPD (past)
• Ryan Adrian Murry, PHARMD

  • Pharmacist
  • Sulphur Springs, TX
  • NPI 1851909907
  NPD (past)
• Suzanne Patel, RPH

  • Pharmacist
  • Sulphur Springs, TX
  • NPI 1679886469
  NPD (past)
• Randy White, PHARM.D

  • Pharmacist
  • Sulphur Springs, TX
  • NPI 1497363477
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1053641639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S BROADWAY ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824921",
            "telephone_number": "903-885-2639",
            "fax_number": "903-335-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S BROADWAY ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824921",
            "telephone_number": "903-885-2639",
            "fax_number": "903-335-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIMSON CARE PHARMACY GROUP II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2024-06-12",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "CPHT, OFFICE MANAGER",
        "authorized_official_telephone_number": "903-885-2639"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146094",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Aimee Cooke, COTA
• Lisa Cowan Madison, OTR
• Rachel L. Cowley, MD
• Rebecca Susan Cox, RN
• Tiffany Nicole Crenshaw, FNP-C
• Crimson Care Pharmacy Group II, LLC (Cody Drug)
• Blake Cross, D.O.
• Kacie Daun Crowson, CCC-SLP
• Custom Care Pediatric Home Health
• Curtis W. Cutrell, M.D.

• Community/Retail Pharmacy in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.