Organization Active NPI

Crain's Pharmacy Inc

  • Community/Retail Pharmacy
  • Ripley, TN
National Provider Identifier
1629150404
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000001086 Issued in TN
Legal business name
CRAIN'S PHARMACY INC
Doing business as
Crain's Pharmacy Inc
Practice address
251 S Washington St
Ripley, TN 38063-1736
Phone
(731) 635-2232
Fax
(731) 635-8939
NPI assigned
Oct 20, 2006
Last updated
Feb 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Samuel Weaver
Title
Pres Phcst
Phone
(731) 635-2232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 0000001086 TN Primary

Addresses

Primary practice location

251 S Washington St
Ripley, TN 38063-1736

Mailing address

251 S Washington St
Ripley, TN 38063-1736

Other identifiers 2

IdentifierTypeStateIssuer
4401458OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3512649MedicaidTN

Other names 1

  • CRAIN'S PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1629150404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 S WASHINGTON ST",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 S WASHINGTON ST",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631736",
            "telephone_number": "731-635-2232",
            "fax_number": "731-635-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIN'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRES PHCST",
        "authorized_official_telephone_number": "731-635-2232"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000001086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4401458",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3512649",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRAIN'S PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ripley, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.