Crocker Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

20049 Issued in CA

Legal business name

CROCKER DRUG INC

Doing business as

CROCKER DRUG

Practice address

502 Euclid Ave
Ste 100
National City, CA 91950-2994

Phone

(619) 267-8159

Fax

(619) 267-8167

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Fern Crocker

Title

Owner/President

Phone

(619) 670-2316

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CROCKER DRUG Doing business as

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1912028465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE",
            "address_2": "STE 100",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502994",
            "telephone_number": "619-267-8159",
            "fax_number": "619-267-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE",
            "address_2": "STE 100",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502994",
            "telephone_number": "619-267-8159",
            "fax_number": "619-267-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCKER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "FERN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "619-670-2316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "20049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0538528",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA200490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROCKER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of San Diego
• Clara Covarrubias Astorga
• Heather Ann Coward
• Cranial Technologies, Inc.
• Eliza Crenshaw, FNP-C
• Terrence Wayne Crouch, MD
• Donna Marie Crowley, MD
• Beverly N Cruthirds Callaway, DDS
• Jeffrey Daniel Cruz, PHARMD
• CSG Enterprises LLC

• Community/Retail Pharmacy in National City, CA
• Providers in National City, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.