DCD Equipment, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DCD EQUIPMENT, INC

Doing business as

Davy Crockett Drug Clinical Services

Practice address

107 S 4TH St
Crockett, TX 75835-2024

Phone

(936) 544-2275

NPI assigned

Dec 7, 2021

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Jeffrey MartinNPI 1467013870

Title

Director

Phone

(936) 544-2275

Specialties & licenses 4

Addresses

Other names 1

• Davy Crockett Drug Clinical Services Doing business as

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.

• James Jeffrey Martin, R.PH.

  • Pharmacist
  • Crockett, TX
  • NPI 1467013870
  NPD Authorized official

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1952069932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S 4TH ST",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758352024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 4TH ST",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758352024",
            "telephone_number": "936-544-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCD EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "936-544-2275"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davy Crockett Drug Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davy Crockett Drug Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosa Lee Davis, M.ED., LPC
• Shemira Davis, QMHP-CS
• Davy Crockett Drug, Inc.
• Davy Crockett Drug, Inc.
• Carol S Dawson, LCSW
• East Texas Medical Center (ETMC Crockett Family Medical Center RHC)
• East Texas Medical Center Crockett (ETMC Crockett)
• East Texas Medical Center Crockett
• East Texas Medical Center Crockett
• East Texas Medical Center Crockett

• Multi-Specialty Clinic/Center in Crockett, TX
• Providers in Crockett, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.