P Praxis·MD
● Active Type 2 · Organization

Davy Crockett Drug, Inc.

Pharmacy·Crockett, TX· NPI 1649752163 · Enumerated 2018 · 7 years on NPI
Davy Crockett Drug, Inc. is 1 of 589 pharmacy organizations in Texas.
NPI age
7 years
Enumerated 2018-08-31
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martin
President
Last NPPES update
2025-09-05
Source: monthly bulk 2026-05

How this organization compares

Across 589 active pharmacy providers in Texas.

NPI age
7 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
107 S 4th St
Crockett, TX 758352024
📞 9365442275fax 9362067696
Mailing address
107 S 4th St
Crockett, TX 758352024
📞 9365442275fax 9362067696

Authorized official

James Jeffrey Martin, RPH
President
📞 9365442275

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
    TX license #04623 taxonomy 3336L0003X

Identifiers

TypeValueNotes
05 (TX) 141598

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Davy Crockett Drug (LTC)
    Type code 5 recorded 2018-08-31
  • Davy Crockett Drug (LTC)
    Type code 5 recorded 2018-08-15

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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