Organization Active NPI

Crawford Professional Drugs Inc

Doing business as Diket's Professional Drugs Inc

  • Community/Retail Pharmacy
  • Laurel, MS
National Provider Identifier
1992879415
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01098011 Issued in MS
Legal business name
CRAWFORD PROFESSIONAL DRUGS INC
Doing business as
Diket's Professional Drugs Inc
Practice address
240 S 13TH Ave
Laurel, MS 39440-4226
Phone
(601) 425-2527
Fax
(601) 425-2528
NPI assigned
Nov 17, 2006
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Try Crawford, REG. PHARM
Title
Owner, Pres, Pic,Ao
Phone
(601) 425-2527

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 01098011 MS Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

240 S 13TH Ave
Laurel, MS 39440-4226

Mailing address

240 S 13TH Ave
Laurel, MS 39440-4226
Phone (601) 425-2527

Other names 1

  • DIKET'S PROFESSIONAL DRUGS INC Doing business as

National Provider Directory

National Provider Directory

Locations

1107 Jefferson St
Laurel, MS 39440
Phone (601) 425-2527

240 S 13th Ave
Laurel, MS 39440
Phone (601) 425-2527

Practitioners & affiliated clinicians

Practitioners 2

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1992879415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S 13TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404226",
            "telephone_number": "601-425-2527",
            "fax_number": "601-425-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S 13TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404226",
            "telephone_number": "601-425-2527",
            "fax_number": "601-425-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD PROFESSIONAL DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "TRY",
        "authorized_official_title_or_position": "OWNER, PRES, PIC,AO",
        "authorized_official_telephone_number": "601-425-2527",
        "authorized_official_credential": "REG. PHARM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "01098011",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIKET'S PROFESSIONAL DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.