Organization Active NPI

Crawfords Pharmacy Inc

  • Community/Retail Pharmacy
  • Cleveland, TN
National Provider Identifier
1346378668
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
215 Issued in TN
Legal business name
CRAWFORDS PHARMACY INC
Practice address
2260 Chambliss Ave NW
Cleveland, TN 37311
Phone
(423) 479-8601
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Jeffry H Wolfenden, RPHNPI 1003944323
Title
President
Phone
(423) 479-8601

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 215 TN Primary

Addresses

Primary practice location

2260 Chambliss Ave NW
Cleveland, TN 37311

Mailing address

PO Box 3326
Cleveland, TN 37320-3326
Phone (423) 479-8601

Other identifiers 3

IdentifierTypeStateIssuer
215OtherTNSTATE LICENSE BOARD OF PHARMACY
4415964OtherTNNABP
1452447MedicaidTN

Other names 1

  • CRAWFORD'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070725000385 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1052412764 Practice locations: Cleveland, TN
O20100930096476 TN DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1052412764 Practice locations: Cleveland, TN
O20200513001976 TN Part B Supplier - Independent Clinical Laboratory 1052412764 Practice locations: Cleveland, TN

National Provider Directory

National Provider Directory
Tax ID family
Crawford'S Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2260 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 479-8601

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1346378668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3326",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373203326",
            "telephone_number": "423-479-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-479-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORDS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "WOLFENDEN",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-479-8601",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE BOARD OF PHARMACY",
            "identifier": "215",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4415964",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452447",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRAWFORD'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.

Verify at the official NPI Registry.