Active NPI
Crescent Foods, Inc.
- Long Term Care Pharmacy
- Mount Olive, NC
National Provider Identifier
1629944004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- CRESCENT FOODS, INC.
- Practice address
- 615 N Breazeale Ave
Mount Olive, NC 28365-1203 - Phone
- (919) 658-8660
- Fax
- (919) 658-8630
- NPI assigned
- Oct 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Brendan Dearie
- Title
- Pic
- Phone
- (919) 658-8660
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
615 N Breazeale Ave
Mount Olive, NC 28365-1203
Mailing address
615 N Breazeale Ave
Mount Olive, NC 28365-1203
Phone (919) 658-8660
Other names 1
- MT OLIVE PHARMACY
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Pharmacy
- Mount Olive, NC
- NPI 1669556478
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Mount Olive, NC
- NPI 1558661165
-
- Pharmacist
- Mount Olive, NC
- NPI 1225346240
-
- Pharmacist
- Goldsboro, NC
- NPI 1255678637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1629944004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N BREAZEALE AVE",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651203",
"telephone_number": "919-658-8660",
"fax_number": "919-658-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N BREAZEALE AVE",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651203",
"telephone_number": "919-658-8660",
"fax_number": "919-658-8630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESCENT FOODS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "DEARIE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "BRENDAN",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "919-658-8660"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MT OLIVE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Olive, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.