Crockett Distributors

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CROCKETT DISTRIBUTORS

Doing business as

Special You DBA

Practice address

107 N Clay St
Marion, KY 42064-1474

Phone

(270) 965-2682

NPI assigned

May 24, 2007

Last updated

Jun 25, 2008By 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. Francis Lou Crockett

Title

Owner

Phone

(270) 965-2682

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Special You DBA Doing business as

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1417168568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N CLAY ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641474",
            "telephone_number": "270-965-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N CLAY ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641474",
            "telephone_number": "270-965-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCKETT DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-965-2682",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90002981",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special You DBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crittenden County Hospital (Marion Home Health-Medicaid Waiver)
• Crittenden County Hospital
• Crittenden County Schools
• Crittenden County Tomorrow Inc (Crittenden County Counseling)
• Crittenden Health Systems
• Terry D Durham, CRNA
• Marcie Ann Ellington, APRN
• Family Practice Clinic PSC
• Graves County Health Department
• Graves County Health Department

• Durable Medical Equipment & Medical Supplies in Marion, KY
• Providers in Marion, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.