CRISP & ASSOCIATES II, LLC (NPI# 1255780441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255780441 |
| Entity Type | Organization |
| Organization Name | CRISP & ASSOCIATES II, LLC |
| Other Organization Name | CHRISTIANS HEALTH SERVICES |
| Practice Address |
4980 Phillips Dr Forest Park GA 30297-1472 |
| Practice Telephone | 4043622990 |
| Practice Fax Number | 4043622994 |
| Mailing Telephone | 4043622990 |
| Mailing Fax Number | 4043622994 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | MR. RAY WAYNE CRISP (OWNER) |
| Authorized Official Telephone | 4043622990 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHHH000063 | GA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHHH000063 | GA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHHH000063 | GA | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHHH000063 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| Christians Health Services | Doing Business As Name - Organization |
| Street Address |
4980 PHILLIPS DR |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982769311 | Christians Pharmacy & Health Services Inc | Pharmacy | 4980 Phillips Dr, Forest Park, GA 30297-1472 | 2006-12-26 |
| 1457628109 | C & W Health Services | Pharmacy | 4980 Phillips Dr, Forest Park, GA 30297-1472 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586487 | Christians Pharmacy Inc | Pharmacy | 1032 Main St, Forest Park, GA 30297-1442 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204921 | P2 Pharmaceutical Services, LLC | Pharmacy | 2744 Broad St, Austell, GA 30106-3200 | 2020-10-28 |
| 1326654179 | Hawthorne Compounding Pharmacy LLC | Pharmacy | 100 Hawthorne Ln Ste A, Athens, GA 30606-2171 | 2020-09-17 |
| 1730710914 | Servemed, Inc | Pharmacy | 10263 Us Hwy 19, Suite 226, 226 Plaza Drive, Zebulon, GA 30295 | 2020-01-28 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1629563317 | Dalton Worx, LLC | Pharmacy | 1506 N Thornton Ave Ste A, Dalton, GA 30720-8515 | 2018-06-26 |
| 1285145789 | Express At Northside LLC | Pharmacy | 296 Northside Dr Sw, Atlanta, GA 30313-1228 | 2017-10-24 |
| 1619411394 | Rita Rx Inc | Pharmacy | 3379 Highway 5 Ste F, Douglasville, GA 30135-2377 | 2016-12-14 |
| 1942756176 | Med-4-you LLC | Pharmacy | 3970 Peachtree Industrial Blvd, Berkeley Lake, GA 30096-4809 | 2016-08-28 |
| 1245785120 | Lambert Pharmacy LLC | Pharmacy | 15 Thomas Grace Annex Ln Ste 150, Sharpsburg, GA 30277-3653 | 2016-08-19 |
| 1629438296 | Express Drugs of Savannah LLC | Pharmacy | 824 E De Renne Ave, Savannah, GA 31405-6717 | 2016-02-25 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.