Crescent Foods, Inc.
NPI 1669556478ActiveOrganization· Pharmacy· Mount Olive, NC
Pharmacy in Mount Olive, North Carolina, registered in NPPES in October 2006, part of Crescent Foods, Inc. The authorized official on file is David Brendan Dearie, Pharmacy Manager. Medicare paid $1,470 for services to 12 patients in 2024.
Overview
| NPI | 1669556478 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Crescent Foods, Inc. |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Jan 6, 2022 |
| Certified by provider | Jan 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 08289 | NC |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 28 across 6 procedure codes |
| Paid by Medicare | $1,470 |
Other Pharmacy providers in Mount Olive
- 1356633531