CCD Operating LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CCD OPERATING LLC

Practice address

228 N Fairmont Ave
Morristown, TN 37814-3768

Phone

(423) 586-6263

Fax

(423) 587-5460

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

David Ryan Kragel, PHARMD

Title

Owner/Pic

Phone

(423) 586-6263

Specialties & licenses 1

Addresses

Other names 1

• Crescent Center Drugs Doing business as

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1881389989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143768",
            "telephone_number": "423-586-6263",
            "fax_number": "423-587-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143768",
            "telephone_number": "423-586-6263",
            "fax_number": "423-587-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCD OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "KRAGEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "423-586-6263",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Center Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mirta Epifania Caswell, B.A., B.S.
• Teresa Gail Cathcart, R.N.
• Kevin Guy Catney, MD
• Ryan William Catterson, PHARMD
• CCD Medical Services LLC
• CCD Operating LLC Dba Crescent Center Drugs
• Debra Lee Chaffee, PHARMACIST
• Champion Physical Therapy LLC Halls
• Champion Physical Therapy LLC Halls
• Deborah Chance, OD

• Long Term Care Pharmacy in Morristown, TN
• Providers in Morristown, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.