NPIMap

Organization Active NPI

Crimson Care Pharmacy Group II, LLC

  • Long Term Care Pharmacy
  • Sulphur Springs, TX
National Provider Identifier
1821501016
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CRIMSON CARE PHARMACY GROUP II, LLC
Practice address
1505 S Broadway St
Sulphur Springs, TX 75482-4921
Phone
(903) 885-2639
Fax
(903) 335-8989
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Nan Bass, CPHT
Title
Office Manager/Certified Pharmacy T
Phone
(903) 885-2639

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 31656 TX
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1505 S Broadway St
Sulphur Springs, TX 75482-4921

Mailing address

1505 S Broadway St
Sulphur Springs, TX 75482-4921
Phone (903) 885-2639

Other names 1

  • Cody Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cody Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1505 S Broadway St
Sulphur Springs, TX 75482
Phone (903) 885-2639

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1821501016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S BROADWAY ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824921",
            "telephone_number": "903-885-2639",
            "fax_number": "903-335-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S BROADWAY ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824921",
            "telephone_number": "903-885-2639",
            "fax_number": "903-335-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIMSON CARE PHARMACY GROUP II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "OFFICE MANAGER/CERTIFIED PHARMACY T",
        "authorized_official_telephone_number": "903-885-2639",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31656",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cody Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.