OrganizationActive
Davy Crockett Drug, Inc.
NPI 1649752163 · Long Term Care Pharmacy · Crockett, TX
Davy Crockett Drug, Inc. is a Long Term Care Pharmacy organization in Crockett, TX (NPI 1649752163).
Provider details
- NPI number
- 1649752163
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- James Martin, President(936) 544-2275
- License
- 04623 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 S 4th St
Crockett, TX 75835-2024
Phone: (936) 544-2275
Fax: (936) 206-7696
Street-level locationGet directions
Mailing address
107 S 4th St
Crockett, TX 75835-2024
Other names (DBA / former)
- Other name
- Davy Crockett Drug (ltc)
- Other name
- Davy Crockett Drug (ltc)
Registry dates
- Enumerated
- 2018-08-31
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Davy Crockett Drug, Inc.'s NPI number?
- Davy Crockett Drug, Inc.'s National Provider Identifier (NPI) is 1649752163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Davy Crockett Drug, Inc.?
- Davy Crockett Drug, Inc. is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Davy Crockett Drug, Inc. located?
- Davy Crockett Drug, Inc.'s practice location on file with NPPES is 107 S 4th St, Crockett, TX 75835-2024.
- What is Davy Crockett Drug, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Davy Crockett Drug, Inc. is (936) 544-2275.
- Who is the authorized official for Davy Crockett Drug, Inc.?
- The authorized official listed on Davy Crockett Drug, Inc.'s NPPES record is James Martin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Davy Crockett Drug, Inc.'s NPI active?
- Yes — Davy Crockett Drug, Inc.'s NPI (1649752163) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.