Active NPI
Lincolnton Investments LLC.
Doing business as Crawford & Breazeale Drug Co.
- Community/Retail Pharmacy
- Lincolnton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE010650
- Legal business name
- LINCOLNTON INVESTMENTS LLC.
- Doing business as
- Crawford & Breazeale Drug Co.
- Practice address
- 125 N Washington St
Lincolnton, GA 30817 - Phone
- (706) 359-3343
- Fax
- (706) 359-7505
- NPI assigned
- Oct 23, 2006
- Last updated
- Jun 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryce Allfrey, PHARMD
- Title
- Pic
- Phone
- (706) 359-3343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE010650 | GA | Primary |
Addresses
Primary practice location
125 N Washington St
Lincolnton, GA 30817
Mailing address
PO Box 1839
Lincolnton, GA 30817-8839
Phone (706) 359-3343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025484A | Medicaid | GA | |
| 2012555 | Other | PK |
Other names 1
- Crawford & Breazeale Drug Co.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181231001878 | GA | Part B Supplier - Pharmacy | 0345585923 | Practice locations: Lincolnton, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Lincolnton Investments LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Lincolnton, GA
- NPI 1538919980
Locations
125 N Washington St
Lincolnton, GA 30817
Phone (706) 359-3343
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Lincolnton, GA
- NPI 1538919980
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Lincolnton, GA
- NPI 1871180042
-
- Pharmacist
- Lincolnton, GA
- NPI 1457456139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593475200000",
"number": "1306929468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1839",
"city": "LINCOLNTON",
"state": "GA",
"postal_code": "308178839",
"telephone_number": "706-359-3343",
"fax_number": "706-359-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N WASHINGTON ST",
"city": "LINCOLNTON",
"state": "GA",
"postal_code": "30817",
"telephone_number": "706-359-3343",
"fax_number": "706-359-7505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLNTON INVESTMENTS LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A",
"authorized_official_last_name": "ALLFREY",
"authorized_official_first_name": "BRYCE",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "706-359-3343",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE010650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00025484A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2012555",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crawford & Breazeale Drug Co.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincolnton, GA
- Lincoln County Board of Commissioners (Lincoln County Office of EMS)
- Lincoln County Board of Health (Lincoln County Health Department)
- Lincoln County Board of Health (Lincoln County Health Department)
- Lincoln County School System, Cis
- Lincolnton Health Clinicllc
- Lincolnton Investments LLC.
- Michelle Mason-Woodard, MD
- Neighborhood Improvement Project Inc
- Nancy Ann Newman, R.N.
- Pharma-Serv Inc (City Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.