NPIMap

Organization Active NPI

Crisp Regional Hospital Pharmacy

  • General Acute Care Hospital
  • Cordele, GA
National Provider Identifier
1194129924
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
PHH003554 Issued in GA
Legal business name
CRISP REGIONAL HOSPITAL PHARMACY
Practice address
902 N 7TH St
Cordele, GA 31015
Phone
(229) 276-3386
Fax
(229) 276-3387
NPI assigned
Oct 22, 2014
Last updated
Sep 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Lynn Renee Bearden
Title
Director Rev Int
Phone
(229) 276-3146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X PHH003554 GA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

902 N 7TH St
Cordele, GA 31015

Mailing address

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3386

National Provider Directory

National Provider Directory
Tax ID family
Crisp Regional Internal22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1194129924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153234",
            "telephone_number": "229-276-3386",
            "fax_number": "229-276-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31015",
            "telephone_number": "229-276-3386",
            "fax_number": "229-276-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISP REGIONAL HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR REV INT",
        "authorized_official_telephone_number": "229-276-3146"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "PHH003554",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.