NPIMap

Organization Active NPI

C & W Pharmacy

  • Pharmacy
  • Forest Park, GA
National Provider Identifier
1629345376
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
C & W PHARMACY
Practice address
1032 Main St
Forest Park, GA 30297-1442
Phone
(404) 366-4320
Fax
(404) 366-0834
NPI assigned
Nov 23, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Ray Wayne Crisp
Title
Owner
Phone
(404) 362-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

1032 Main St
Forest Park, GA 30297-1442

Mailing address

1032 Main St
Forest Park, GA 30297-1442
Phone (404) 366-4320

National Provider Directory

National Provider Directory

Locations

1032 Main St
Forest Park, GA 30297
Phone (404) 366-4320

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1629345376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971442",
            "telephone_number": "404-366-4320",
            "fax_number": "404-366-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971442",
            "telephone_number": "404-366-4320",
            "fax_number": "404-366-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & W PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-362-2990"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.