Organization Active NPI

Crawford W Long Pharmacy Inc LTC

  • Long Term Care Pharmacy
  • Jefferson, GA
National Provider Identifier
1841008869
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CRAWFORD W LONG PHARMACY INC LTC
Practice address
86 N Public SQ
Jefferson, GA 30549-1084
Phone
(706) 367-5285
Fax
(706) 367-2283
NPI assigned
Dec 23, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Fred C Gurley
Title
Owner
Phone
(706) 367-5285

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

86 N Public SQ
Jefferson, GA 30549-1084

Mailing address

86 N Public SQ
Jefferson, GA 30549-1084
Phone (706) 367-5285

National Provider Directory

National Provider Directory
Tax ID family
Crawford W Long Pharmacy Inc2 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

86 N Public Sq
Jefferson, GA 30549
Phone (706) 367-5252

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": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1841008869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 N PUBLIC SQ",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491084",
            "telephone_number": "706-367-5285",
            "fax_number": "706-367-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 N PUBLIC SQ",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491084",
            "telephone_number": "706-367-5285",
            "fax_number": "706-367-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD W LONG PHARMACY INC LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-367-5285"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.