Crowley Drug Co., Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010115 Issued in GA

Legal business name

CROWLEY DRUG CO., INC.

Doing business as

Crowley Drug Co., Inc.

Practice address

1201 Dews Pond Rd SE
Ste 1
Calhoun, GA 30701-9210

Phone

(706) 979-2400

Fax

(706) 979-2401

NPI assigned

Jan 20, 2015

Last updated

Jan 20, 2015By 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

William Crowley

Title

President, Pic

Phone

(706) 979-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crowley Drug Co., Inc. Doing business as

Locations

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1245629906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 DEWS POND RD SE",
            "address_2": "STE 1",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307019210",
            "telephone_number": "706-979-2400",
            "fax_number": "706-979-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 DEWS POND RD SE",
            "address_2": "STE 1",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307019210",
            "telephone_number": "706-979-2400",
            "fax_number": "706-979-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWLEY DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT, PIC",
        "authorized_official_telephone_number": "706-979-2400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crowley Drug Co., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jenna M Darby, MSN, FNP

• Community/Retail Pharmacy in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.