Crawford Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

309 Issued in NE

Legal business name

CRAWFORD PHARMACY, LLC

Doing business as

Crawford Pharmacy

Practice address

312 2ND St
Crawford, NE 69339-1052

Phone

(308) 665-1395

NPI assigned

Aug 8, 2007

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooke Michelle Heine, PHARM.D.

Title

Owner/RP in Charge

Phone

(308) 665-1395

Specialties & licenses 5

Addresses

Other names 1

• Crawford Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1669663134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 2ND ST",
            "city": "CRAWFORD",
            "state": "NE",
            "postal_code": "693391052",
            "telephone_number": "308-665-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 2ND ST",
            "city": "CRAWFORD",
            "state": "NE",
            "postal_code": "693391052",
            "telephone_number": "308-665-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/RP IN CHARGE",
        "authorized_official_telephone_number": "308-665-1395",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "309",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NE",
            "license": "309",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "309",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NE",
            "license": "309",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Crawford (Ponderosa Villa)
• Counseling by Christina, LLC
• County of Dawes School District 71 (Crawford Public Schools)
• Kelsee Cover
• Sheryl Cozad
• Crawford Rural Fire District 4
• Cindy Ann Drinkwalter
• Amanda Dubs
• Megan Michelle Eitemiller, DDS
• Gay C Gilmore, M.D.

• Community/Retail Pharmacy in Crawford, NE
• Providers in Crawford, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.