NPIMap

Organization Active NPI

Coffeyville Regional Medical Center, Inc.

Doing business as CRMC Community RX

  • Community/Retail Pharmacy
  • Coffeyville, KS
National Provider Identifier
1316897754
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
Doing business as
CRMC Community RX
Practice address
1411 W 4TH St
Coffeyville, KS 67337-3341
Phone
(620) 252-1695
Fax
(620) 252-1533
NPI assigned
Feb 3, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COFFEYVILLE REGIONAL MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Brian Lawrence
Title
President & Ceo
Phone
(620) 252-1519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1411 W 4TH St
Coffeyville, KS 67337-3341

Mailing address

1411 W 4TH St
Coffeyville, KS 67337-3341
Phone (620) 252-1560

Other names 1

  • CRMC Community RX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coffeyville Regional Me5 organizations share this tax ID, including this one
Part of
Coffeyville Regional Me

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1316897754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373341",
            "telephone_number": "620-252-1560",
            "fax_number": "844-601-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373341",
            "telephone_number": "620-252-1695",
            "fax_number": "620-252-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEYVILLE REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COFFEYVILLE REGIONAL MEDICAL CENTER, INC",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "620-252-1519"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRMC Community RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coffeyville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.