Organization Active NPI

Precision Pharmacy Wellness and Compounding LLC

  • Pharmacy
  • Hattiesburg, MS
National Provider Identifier
1942902796
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PRECISION PHARMACY WELLNESS AND COMPOUNDING LLC
Practice address
6766 U S Highway 98 Ste 8
Hattiesburg, MS 39402-8443
Phone
(601) 498-8576
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Mr. Kenneth Earl Crawford III, RPH
Title
Member
Phone
(601) 498-8576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

6766 U S Highway 98 Ste 8
Hattiesburg, MS 39402-8443

Mailing address

6766 U S Highway 98 Ste 8
Hattiesburg, MS 39402-8443
Phone (601) 498-8576

National Provider Directory

National Provider Directory
Tax ID family
Precision Pharmacy Wellness and Compounding LLC2 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

6766 U S Highway 98
Ste 8
Hattiesburg, MS 39402
Phone (601) 498-8576

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1942902796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6766 U S HIGHWAY 98 STE 8",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028443",
            "telephone_number": "601-498-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6766 U S HIGHWAY 98 STE 8",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028443",
            "telephone_number": "601-498-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHARMACY WELLNESS AND COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-498-8576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.