Crisp & Associates II, LLC
NPI 1255780441ActiveOrganization· Pharmacy, Compounding Pharmacy· Forest Park, GA
Pharmacy, Compounding Pharmacy in Forest Park, Georgia, registered in NPPES in June 2016. The authorized official on file is Ray Wayne Crisp, RPH, Owner. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1255780441 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2016 |
| Last updated in NPPES | Jun 8, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | PHHH000063 | GA |
| Pharmacy | 333600000X | PHHH000063 | GA |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | PHHH000063 | GA |
| Pharmacy, Specialty Pharmacy | 3336S0011X | PHHH000063 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (GA); Part B Supplier - Mass Immunization (Roster Biller Only) (GA) |
|---|