Active NPI
Randy Gordon Crawford, RPH
- Pharmacist
- Rocky Mount, NC
National Provider Identifier
1154611135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6086
- Practice address
- 901 N Winstead Ave
Ste 100
Rocky Mount, NC 27804-8467 - Phone
- (252) 443-7979
- Fax
- (252) 937-7143
- NPI assigned
- Apr 12, 2011
- Last updated
- Feb 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 6086 | NC | Primary |
Addresses
Primary practice location
901 N Winstead Ave
Ste 100
Rocky Mount, NC 27804-8467
Mailing address
901 N Winstead Avenue
Ste 100
Rocky Mount, NC 27804
Phone (252) 443-7979
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6086 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mount Medical Park Pharmacy, Inc | Past | Accepting new patients | |
| Rocky Mount Medical Park Pharmacy Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rocky Mount Medical Park Pharmacy
- Community/Retail Pharmacy
- Rocky Mount, NC
- NPI 1578830105
-
dba Rocky Mount Medical Park Pharmacy
- Community/Retail Pharmacy
- Rocky Mount, NC
- NPI 1659423903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1154611135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N WINSTEAD AVENUE",
"address_2": "STE 100",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "27804",
"telephone_number": "252-443-7979",
"fax_number": "252-937-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N WINSTEAD AVE",
"address_2": "STE 100",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048467",
"telephone_number": "252-443-7979",
"fax_number": "252-937-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "RANDY",
"middle_name": "GORDON",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-12",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "6086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.