Crowders Neighborhood Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60000019A Issued in IN

Legal business name

CROWDERS NEIGHBORHOOD DRUG STORE INC

Practice address

631 16TH St
Bedford, IN 47421-3818

Phone

(812) 275-5949

Fax

(812) 277-3631

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Steven Anderson, B.S.NPI 1720286016

Title

R.PH/Owner

Phone

(812) 275-5949

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• CROWDERS DRUG STORE INC Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Crowders Institutional Pharmacy

  • Long Term Care Pharmacy
  • Bedford, IN
  • NPI 1033133681

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Crowders Institutional Pharmacy

  • Long Term Care Pharmacy
  • Bedford, IN
  • NPI 1033133681

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Mark Anderson, RPH

  • Pharmacist
  • Bedford, IN
  • NPI 1720286016
  NPD (past) Authorized official

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1770586141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474210966",
            "telephone_number": "812-275-5959",
            "fax_number": "812-277-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213818",
            "telephone_number": "812-275-5949",
            "fax_number": "812-277-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWDERS NEIGHBORHOOD DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "R.PH/OWNER",
        "authorized_official_telephone_number": "812-275-5949",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60000019A",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100279070A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1500227",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWDERS DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah W Craton, MD
• Aimee Cross
• Judy Marie Cross, PT
• Crowders Express Scripts
• Crowders Institutional Pharmacy
• Laura Cummings
• Curtis Orthodontics, PC
• Tod Joseph Curtis
• D.W. Childers Co., Inc.
• D.W. Childers Co., Inc.

• All providers in Bedford, IN
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.