Organization Active NPI

Elizabeth Crew PLLC

Doing business as Cotton County Drug

  • Community/Retail Pharmacy
  • Walters, OK
National Provider Identifier
1922316959
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
65-6426 Issued in OK
Legal business name
ELIZABETH CREW PLLC
Doing business as
Cotton County Drug
Practice address
619 E Missouri St
Walters, OK 73572-1605
Phone
(580) 875-6161
Fax
(580) 875-6363
NPI assigned
Sep 24, 2010
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Elizabeth CrewNPI 1861798324
Title
Owner/Manager
Phone
(580) 875-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 65-6426 OK Primary
Long Term Care Pharmacy 3336L0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

619 E Missouri St
Walters, OK 73572-1605

Mailing address

619 E Missouri St
Walters, OK 73572-1605
Phone (580) 875-6161

Other identifiers 2

IdentifierTypeStateIssuer
200304950AMedicaidOK
2126279OtherPK

Other names 1

  • Cotton County Drug Doing business as

National Provider Directory

National Provider Directory

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": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1922316959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E MISSOURI ST",
            "city": "WALTERS",
            "state": "OK",
            "postal_code": "735721605",
            "telephone_number": "580-875-6161",
            "fax_number": "580-875-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E MISSOURI ST",
            "city": "WALTERS",
            "state": "OK",
            "postal_code": "735721605",
            "telephone_number": "580-875-6161",
            "fax_number": "580-875-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CREW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "CREW",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "580-875-6161"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "65-6426",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200304950A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cotton County Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cotton County Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walters, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.