Crittenden's Drug Store

Primary specialty

PharmacistTaxonomy code 183500000X

License

0201000136 Issued in VA

Legal business name

CRITTENDEN'S DRUG STORE

Practice address

121 West Carolina Ave
Crewe, VA 23930

Phone

(434) 645-9545

Fax

(434) 645-8183

NPI assigned

Oct 18, 2006

Last updated

Mar 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Holly K Morris, PHARMACIST

Title

Pharmacist in Charge Owner

Phone

(434) 645-9545

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Venugopal Mateti, RPH

  • Pharmacist
  • Crewe, VA
  • NPI 1487160180
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1366523185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WEST CAROLINA AVE",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "23930",
            "telephone_number": "434-645-9545",
            "fax_number": "434-645-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WEST CAROLINA AVE",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "23930",
            "telephone_number": "434-645-9545",
            "fax_number": "434-645-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN'S DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE OWNER",
        "authorized_official_telephone_number": "434-645-9545",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201000136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504334",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURANCES",
            "identifier": "4805733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sametria Manley Casper
• Michelle Seamster Cook, FNP
• Crewe Medical Center
• Crewe Medical Center Inc
• Crewe Outpatient Imaging LLC (Crewe Imaging Center)
• Crittendens RX Inc
• Downs Enterprise LTD
• Family Preservation Services, Inc
• Family Preservation Services, Inc
• Family Preservation Services, Inc

• Pharmacist in Crewe, VA
• Providers in Crewe, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.