Organization Active NPI

Crescent Services II LLC

Doing business as Jasper Drug Store at Foothills

  • Community/Retail Pharmacy
  • Marble Hill, GA
National Provider Identifier
1669272571
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CRESCENT SERVICES II LLC
Doing business as
Jasper Drug Store at Foothills
Practice address
80 Foothills Pkwy
Marble Hill, GA 30148-2255
Phone
(770) 893-3784
Fax
(770) 893-3600
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. John Thomas Sherrer Jr., PHARM.D.
Title
Ceo / Co-Owner
Phone
(404) 317-0303

Specialties & licenses 1

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

Addresses

Primary practice location

80 Foothills Pkwy
Marble Hill, GA 30148-2255

Mailing address

80 Foothills Pkwy
Marble Hill, GA 30148-2255
Phone (770) 893-3784

Other names 1

  • Jasper Drug Store at Foothills Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251222002814 GA Part B Supplier - Pharmacy 3870088354 Practice locations: Marble Hill, GA
O20260116002564 GA DME Supplier - Pharmacy 3870088354 Practice locations: Marble Hill, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Crescent Services LLC80 Foothills Pkwy, Marble Hill, GA 30148-2255(770) 893-3784 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Nov 28, 2025

National Provider Directory

National Provider Directory

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": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1669272571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FOOTHILLS PKWY",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482255",
            "telephone_number": "770-893-3784",
            "fax_number": "770-893-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FOOTHILLS PKWY",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482255",
            "telephone_number": "770-893-3784",
            "fax_number": "770-893-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT SERVICES II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "SHERRER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO / CO-OWNER",
        "authorized_official_telephone_number": "404-317-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper Drug Store at Foothills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marble Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.