Emily Rose Crum

Primary specialty

PharmacistTaxonomy code 183500000X

License

39407 Issued in TN

Practice address

2490 Parr Ave Ste 9
Dyersburg, TN 38024-2030

Phone

(731) 285-0844

NPI assigned

May 2, 2019

Last updated

May 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• C & C Pharmacy, LLC

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1316267487
  NPD

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1245895580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 PARR AVE STE 9",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242030",
            "telephone_number": "731-285-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 PARR AVE STE 9",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242030",
            "telephone_number": "731-285-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "39407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE NUMBER",
            "identifier": "092870545",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad F Creekmore, FNP
• Patsy Elaine Crihfield, MSN, RN, APRN, BC
• Eddie Lee Crocker, PT
• Crossroads Urgent Care PLLC (Urgent Team)
• Crossroads Urgent Care PLLC (Urgent Team)
• Kerri B Cunningham
• Da Dove Transportation LLC
• Daniel Green MD (Lake County Internal Medicine Clinic)
• Frances Leemary Daniels-Moses, LCSW
• Danny B Dedmon (City Drug Company)

• Pharmacist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.