NPIMap

Organization Active NPI

Crystal Drug LP

  • Community/Retail Pharmacy
  • Crystal City, TX
National Provider Identifier
1245345446
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23104 Issued in TX
Legal business name
CRYSTAL DRUG LP
Practice address
224 E Zavala St
Crystal City, TX 78839-3512
Phone
(830) 374-3436
Fax
(830) 374-5573
NPI assigned
Aug 20, 2006
Organization subpart
Yes
Parent organization
LIFECHEK AUCHAN PARTNERS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Colin Gingrich
Title
Compliance Coordinator
Phone
(281) 232-3940

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 23104 TX Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

224 E Zavala St
Crystal City, TX 78839-3512

Mailing address

PO Box 1047
Richmond, TX 77406-0027
Phone (291) 232-3940

Other identifiers 2

IdentifierTypeStateIssuer
2095090OtherPK
471000MedicaidTX

Other names 1

  • LIFECHEK Doing business as

National Provider Directory

National Provider Directory
Part of
Lifechek Auchan Partners LTD

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1245345446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774060027",
            "telephone_number": "291-232-3940",
            "fax_number": "832-595-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E ZAVALA ST",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393512",
            "telephone_number": "830-374-3436",
            "fax_number": "830-374-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL DRUG LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECHEK AUCHAN PARTNERS LTD",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "GINGRICH",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "COMPLIANCE COORDINATOR",
        "authorized_official_telephone_number": "281-232-3940"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23104",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095090",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFECHEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.