Crawford Professional Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

01098011 Issued in MS

Legal business name

CRAWFORD 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

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• DIKET'S PROFESSIONAL DRUGS INC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Earl Crawford III, RPH

  • Pharmacist
  • Laurel, MS
  • NPI 1891901567
  NPD
• Mary Blair Read, RPH

  • Pharmacist
  • Laurel, MS
  • NPI 1730998642
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030708",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIKET'S PROFESSIONAL DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Coquilla, INSURANCE PRODUCER
• Kyle Brannon Crager, MPT
• Markus Dick Craig, NP
• Katherine Lillian Cranston, MD
• Kenneth Craven, FNP
• Kenneth Earl Crawford III, RPH
• Cronin Family Dentistry of Laurel, PLLC
• Sarah Katherine Crosby
• Stephanie Crosby, WHNP-BC, FNP-C
• Sharon W Crumpton, AU

• Community/Retail Pharmacy in Laurel, MS
• Providers in Laurel, MS by specialty
• Community/Retail Pharmacy in Mississippi

• 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.