DAVY CROCKETT DRUG, INC.
NPI 1649752163
Pharmacy - Long Term Care Pharmacy in Crockett, TX

Active since August 31, 2018
107 S 4TH ST, CROCKETT, TX 75835(936) 544-2275(936) 206-7696 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2025, Aug 31, 2018 (2 updates tracked since 2018).

About Davy Crockett Drug, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVY CROCKETT DRUG, INC. (NPI 1649752163) is a healthcare organization registered as a long term care pharmacy in Crockett, Texas and active in the NPI registry since August 2018. The organization lists James Jeffrey Martin, President, as its authorized official.

NPPES Registry Identity

NPI1649752163
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameDAVY CROCKETT DRUG, INC.
Location Address107 S 4TH STCrockett, TX 75835-2024
Mailing Address107 S 4th StCrockett, TX 75835-2024 · (936) 544-2275 · Fax (936) 206-7696
Fax(936) 206-7696
Organization SubpartNo
Authorized OfficialJames Jeffrey MartinPresident · (936) 544-2275
Enumeration DateAugust 31, 2018
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
NPI 1649752163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in TX · 04623
Definition
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 forms of congregate living arrangements.
107 S 4TH ST, Crockett, TX 75835

Other Names 1

Other NameDavy Crockett Drug (ltc)

Other Identifiers 1

Medicaid141598TX

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
107 S 4TH ST
CROCKETT, TX 75835
Pharmacy (Community/Retail Pharmacy)
107 S 4TH ST
CROCKETT, TX 75835
Pharmacist
107 S 4TH ST
CROCKETT, TX 75835
Pharmacist
107 S 4TH ST
CROCKETT, TX 75835
Clinic/Center (Multi-Specialty)
107 S 4TH ST
CROCKETT, TX 75835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davy Crockett Drug, Inc.'s NPI number?

The NPI number for Davy Crockett Drug, Inc. is 1649752163. It was assigned to this organization in the NPPES registry on August 31, 2018. The provider is also known as Davy Crockett Drug (LTC).

Where is Davy Crockett Drug, Inc. located?

Davy Crockett Drug, Inc. is located at 107 S 4th St, Crockett, TX 75835. The listed phone number is (936) 544-2275.

What is Davy Crockett Drug, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Davy Crockett Drug, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 41 other insurers list Davy Crockett Drug, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Davy Crockett Drug, Inc. was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.