Crisp & Associates III, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CRISP & ASSOCIATES III, LLC

Doing business as

Christians Medical Equipment & Supplies

Practice address

1057 Main St
Suite C
Forest Park, GA 30297-1482

Phone

(404) 362-6901

Fax

(404) 362-6904

NPI assigned

Jun 9, 2016

Last updated

Jun 9, 2016By 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

Mr. Ray Wayne Crisp, RPH

Title

Owner

Phone

(678) 873-3192

Specialties & licenses 1

Addresses

Other names 1

• Christians Medical Equipment & Supplies Doing business as

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1275982373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 MAIN ST",
            "address_2": "SUITE C",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971482",
            "telephone_number": "404-362-6901",
            "fax_number": "404-362-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 MAIN ST",
            "address_2": "SUITE C",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971482",
            "telephone_number": "404-362-6901",
            "fax_number": "404-362-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISP & ASSOCIATES III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-873-3192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christians Medical Equipment & Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.