Crittendens RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CRITTENDENS RX INC

Practice address

121 W Carolina Ave
Crewe, VA 23930-1803

Phone

(434) 645-9545

Fax

(434) 645-8183

NPI assigned

Nov 9, 2017

Last updated

Nov 9, 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

Mr. Anil PuligillaNPI 1407072085

Title

Owner

Phone

(646) 450-0581

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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.

• Anil Puligilla, RPH

  • Pharmacist
  • Parsippany, NJ
  • NPI 1407072085
  Authorized official Same address or phone
• Venugopal Mateti, RPH

  • Pharmacist
  • Crewe, VA
  • NPI 1487160180
  NPD

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1578076857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W CAROLINA AVE",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239301803",
            "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 W CAROLINA AVE",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239301803",
            "telephone_number": "434-645-9545",
            "fax_number": "434-645-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDENS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "PULIGILLA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-450-0581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Seamster Cook, FNP
• Crewe Medical Center
• Crewe Medical Center Inc
• Crewe Outpatient Imaging LLC (Crewe Imaging Center)
• Crittenden's Drug Store
• Downs Enterprise LTD
• Family Preservation Services, Inc
• Family Preservation Services, Inc
• Family Preservation Services, Inc
• John E Gehman Sr., MD

• Community/Retail Pharmacy in Crewe, VA
• Providers in Crewe, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.