Active NPI
Crescent Services II LLC
Doing business as Jasper Drug Store at Foothills
- Community/Retail Pharmacy
- Marble Hill, GA
National Provider Identifier
1669272571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Crescent Services LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Jasper, GA
- NPI 1023993573
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.