CRESCENT CENTER DRUG – NPI #1225049893
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CRESCENT CENTER DRUG is a pharmacy located in MORRISTOWN, TN. NPPES has assigned the NPI number 1225049893 to CRESCENT CENTER DRUG on August 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CRESCENT CENTER DRUG” is a dba name, the actual legal business name for this organization is CCD OPERATING LLC DBA CRESCENT CENTER DRUGS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 7 years ago on Mar 06, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRESCENT CENTER DRUG below.

NPI Profile for
CCD OPERATING LLC DBA CRESCENT CENTER DRUGS

NPI Number
1225049893
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCD OPERATING LLC DBA CRESCENT CENTER DRUGS
Doing Business As (dba): CRESCENT CENTER DRUG
Primary location
228 NORTH FAIRMONT AVAE
MORRISTOWN, TN 37814
Phone: (423) 586-6263 Fax: (423) 587-5460
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID KRAGEL
OWNER/PHARMACIST
Phone: (423) 586-6263
Updated
Identifiers

Identifiers for CRESCENT CENTER DRUG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2095811
MEDICAIDTN3564207
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.