Kelvin Douglas Crafton, RPH

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PH10516 Issued in WA

Practice address

104 S Freya St
Ste 225 Turquoise Flag BLDG
Spokane, WA 99202-4862

Phone

(509) 343-5200

Fax

(509) 343-5199

NPI assigned

May 31, 2005

Last updated

Nov 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medication Review Inc

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1972837748
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1023011319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST",
            "address_2": "STE 225 TURQUOISE FLAG BLDG",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024862",
            "telephone_number": "509-343-5200",
            "fax_number": "509-343-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST",
            "address_2": "STE 225 TURQUOISE FLAG BLDG",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024862",
            "telephone_number": "509-343-5200",
            "fax_number": "509-343-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFTON",
        "first_name": "KELVIN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WA",
            "license": "PH10516",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ID",
            "license": "P5225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CR Clearview LLC
• Bonnie Crable-Reed
• Jessica Renae Craddock, MD
• Christina Lynn Craft
• Elizabeth Anne Moore Crafton, RN
• Thomas Crafts
• Craig B. Simmons DDS PLLC (Downriver Smiles)
• Craig B. Simmons DDS PLLC (Holistic Dental Center)
• Craig B. Simmons DDS PLLC (Spokane Dentures and Dentistry)
• Bruce August Craig, CRNA

• Pharmacotherapy Pharmacist in Spokane, WA
• Providers in Spokane, WA by specialty
• Pharmacotherapy Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.