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Crisp Regional Hospital, Inc.

Organization Active NPI Community/Retail Pharmacy · Cordele, GA

NPI 1649034166 · NPPES record last updated May 22, 2024

Key facts

NPI
1649034166
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
CRISP REGIONAL HOSPITAL, INC.
Practice address
1701 E 16TH Ave
Cordele, GA 31015-5308
Phone
(229) 947-6700
Fax
(229) 947-6701
NPI assigned
Feb 6, 2024
Organization subpart
No

Authorized official

Name
Mrs. Whitney Hill Brown, PHARMD
Title
Director of Pharmacy
Phone
(229) 947-6700

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Surgical Associates (22 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

1701 E 16TH Ave
Cordele, GA 31015-5308

Mailing address

902 N 7TH St
Cordele, GA 31015-3270
Phone (229) 276-3386

Other names

  • Crisp Regional Community Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 22, 2024.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1649034166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153270",
            "telephone_number": "229-276-3386",
            "fax_number": "229-276-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310155308",
            "telephone_number": "229-947-6700",
            "fax_number": "229-947-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISP REGIONAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "HILL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "229-947-6700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crisp Regional Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crisp Regional Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordele, GA

All providers in Cordele, GA · Community/Retail Pharmacy in Georgia

Sources for this page

Verify at the official NPI Registry.