Active NPI
Precision Pharmacy Wellness and Compounding LLC
- Long Term Care Pharmacy
- Hattiesburg, MS
National Provider Identifier
1346096898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PRECISION PHARMACY WELLNESS AND COMPOUNDING LLC
- Practice address
- 6766 U S Highway 98
Hattiesburg, MS 39402-8443 - Phone
- (601) 255-0010
- Fax
- (601) 255-0309
- NPI assigned
- Apr 25, 2024
- 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
- Mr. Kenneth Earl Crawford III, RPH
- Title
- Vice-President
- Phone
- (601) 255-0010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
6766 U S Highway 98
Hattiesburg, MS 39402-8443
Mailing address
6766 U S Highway 98
Hattiesburg, MS 39402-8443
Phone (601) 255-0010
Other names 1
- Precision Pharmacy Wellness and Compounding, LTC
National Provider Directory
National Provider Directory- Tax ID family
- Precision Pharmacy Wellness and Compounding LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Hattiesburg, MS
- NPI 1942902796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1346096898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6766 U S HIGHWAY 98",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028443",
"telephone_number": "601-255-0010",
"fax_number": "601-255-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6766 U S HIGHWAY 98",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028443",
"telephone_number": "601-255-0010",
"fax_number": "601-255-0309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION PHARMACY WELLNESS AND COMPOUNDING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "601-255-0010",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Precision Pharmacy Wellness and Compounding, LTC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hattiesburg, MS
- Letasia Poyadou, DMD
- Miranda Prather
- Rebecca Lee Prechter, DO
- Precision Compounding LLC
- Precision Mobile Phlebotomy LLC
- Precision Pharmacy Wellness and Compounding LLC
- Premier Orthopaedics & Sports Medicine, PLLC
- Premier Orthopaedics and Sports Medicine, PLLC
- Joe Pressler, M.D.
- Hanah Cavazos Preuett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.