CCD Operating LLC Dba Crescent Center Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

703 Issued in TN

Legal business name

CCD OPERATING LLC DBA CRESCENT CENTER DRUGS

Doing business as

Crescent Center Drug

Practice address

228 North Fairmont Avae
Morristown, TN 37814

Phone

(423) 586-6263

Fax

(423) 587-5460

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

David Ryan Kragel, PHARM DNPI 1740563808

Title

Owner/Pharmacist

Phone

(423) 586-6263

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• CRESCENT CENTER DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ryan Kragel

  • Pharmacist
  • Morristown, TN
  • NPI 1740563808
  NPD Authorized official
• Cabel L Jones III, D. PHARM.

  • Pharmacist
  • Morristown, TN
  • NPI 1982988796
  NPD
• Amelia K Murphy, PHARM D

  • Pharmacist
  • Morristown, TN
  • NPI 1144817206
  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1225049893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 NORTH FAIRMONT AVAE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37814",
            "telephone_number": "423-586-6263",
            "fax_number": "423-587-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 NORTH FAIRMONT AVAE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37814",
            "telephone_number": "423-586-6263",
            "fax_number": "423-587-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCD OPERATING LLC DBA CRESCENT CENTER DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "KRAGEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "423-586-6263",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "703",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3564207",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESCENT CENTER DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRESCENT CENTER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Gail Cathcart, R.N.
• Kevin Guy Catney, MD
• Ryan William Catterson, PHARMD
• CCD Medical Services LLC
• CCD Operating LLC (Crescent Center Drugs)
• Debra Lee Chaffee, PHARMACIST
• Champion Physical Therapy LLC Halls (CORA Physical Therapy - Morristown)
• Champion Physical Therapy LLC Halls (CORA Physical Therapy - Morristown)
• Deborah Chance, OD
• Beverly Chandley, MA

• Community/Retail Pharmacy in Morristown, TN
• Providers in Morristown, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.