Vernon Dewayne Crowell Jr., PHARMD
Individual provider Active NPI Pharmacist · De Witt, AR
NPI 1336787308 · NPPES record last updated Dec 20, 2019
Key facts
- NPI
- 1336787308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- C15041 (AR)
- Practice address
- 220 Court SQ
De Witt, AR 72042-2057 - Phone
- (870) 946-4221
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C15041 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tommys Rexall Drug Company Inc | Past |
Accepting new patients | |
| Tommys Rexall Drug Company Inc. | Pharmacist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | C15041 | AR | Yes |
Addresses
Primary practice location
220 Court SQ
De Witt, AR 72042-2057
Mailing address
220 Court SQ
De Witt, AR 72042-2057
Phone (870) 946-4221
Other providers in De Witt, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.