Organization Active NPI

Crossett Pharmacy, Inc

Doing business as Ford Hopkins Drug

  • Pharmacist
  • Macomb, IL
National Provider Identifier
1629004833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
CROSSETT PHARMACY, INC
Doing business as
Ford Hopkins Drug
Practice address
118 N Lafayette St
Macomb, IL 61455-2226
Phone
(309) 833-2424
Fax
(309) 836-5541
NPI assigned
Jun 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard E. Crossett, R.PH.NPI 1780711028
Title
President
Phone
(309) 833-2424

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
Pharmacist 183500000X IL Primary

Addresses

Primary practice location

118 N Lafayette St
Macomb, IL 61455-2226

Mailing address

PO Box 464
Macomb, IL 61455-0464
Phone (309) 833-2424

Other names 1

  • Ford Hopkins Drug Doing business as

National Provider Directory

National Provider Directory

Locations

118 N Lafayette St
Macomb, IL 61455
Phone (309) 833-2424

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629004833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614550464",
            "telephone_number": "309-833-2424",
            "fax_number": "309-836-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N LAFAYETTE ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552226",
            "telephone_number": "309-833-2424",
            "fax_number": "309-836-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSETT PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROSSETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-833-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ford Hopkins Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.