CRAWFORD W LONG PHARMACY INC (NPI# 1659385060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659385060 |
| Entity Type | Organization |
| Organization Name | CRAWFORD W LONG PHARMACY INC |
| Practice Address |
86 N Public Sq Jefferson GA 30549-1084 |
| Practice Telephone | 7063675285 |
| Practice Fax Number | 7063672283 |
| Mailing Telephone | 7063675285 |
| Mailing Fax Number | 7063672283 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | FRED GURLEY (PHARMACIST/OWNER) |
| Authorized Official Telephone | 7063675285 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE006312 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000254958 | 05 |
| Street Address |
86 N PUBLIC SQ |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-1084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467590646 | Fred C Gurley | Pharmacist | 86 N Public Sq, Jefferson, GA 30549-1084 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629594445 | Walgreen Co | Pharmacy | 1305 Washington St, Po Box 885, Jefferson, GA 30549-0885 | 2017-08-15 |
| 1073746988 | Jack's Discount Pharmacy | Pharmacy | 4400 Jefferson Hwy, Jefferson, LA 70121-1309 | 2009-08-25 |
| 1013110246 | Pharmacy City LLC | Pharmacy | 3805 Jefferson Hwy, Jefferson, LA 70121-1625 | 2007-06-06 |
| 1912028267 | The Kroger Co | Pharmacy | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2007-04-03 |
| 1619987385 | Gkb Inc. | Pharmacy | 418 E Main St, Jefferson, NC 28640-0155 | 2006-08-08 |
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|---|---|---|---|---|
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| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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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.