Crescent Drug and Apothecary LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CRESCENT DRUG AND APOTHECARY LLC

Practice address

116 S Dean a McGee Ave
Wynnewood, OK 73098-7822

Phone

(405) 665-4115

Fax

(405) 665-5666

NPI assigned

May 2, 2022

Organization subpart

No

Name

Rory Forinash, PHARM D

Title

Pharmacist

Phone

(405) 665-4115

Organizations that report the same tax identification number in the National Provider Directory.

• Crescent Drug and Apothecary LLC

  • Long Term Care Pharmacy
  • Wynnewood, OK
  • NPI 1215643226
  NPD tax ID

Medicare fee-for-service enrollment

Enrolled in OK

Tax ID family

Crescent Drug and Apothecary LLC (2 organizations share this tax ID)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 5, 2022.

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1942945175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S DEAN A MCGEE AVE",
            "city": "WYNNEWOOD",
            "state": "OK",
            "postal_code": "730987822",
            "telephone_number": "405-665-4115",
            "fax_number": "405-665-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S DEAN A MCGEE AVE",
            "city": "WYNNEWOOD",
            "state": "OK",
            "postal_code": "730987822",
            "telephone_number": "405-665-4115",
            "fax_number": "405-665-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT DRUG AND APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "FORINASH",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "405-665-4115",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Briana Bryant, LPN
• Jayme Elizabeth Burnett-Green, CBHCM II, CPRSS
• Angela Campbell, M.ED LPC
• Amy Corrick, LPC CANDIDATE
• Crescent Drug and Apothecary LLC
• Crescent Drug Store Inc
• Davids Pharmacy
• Lisa Dover, MSPS, LPC
• Dr Kyle R Moore DDS
• Michael Don Dyson, M.S.P.S.

• All providers in Wynnewood, OK
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.