Individual provider Active NPI

Brandon M Craig, PHARMD, RPH, BCACP

  • Pharmacist
  • Medina, OH
National Provider Identifier
1063671964
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-2-28019 Issued in OH
Practice address
1090 Enterprise Dr
Medina, OH 44256-1328
Phone
(844) 443-6879
Fax
(844) 329-2447
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-2-28019 OH Primary

Addresses

Primary practice location

1090 Enterprise Dr
Medina, OH 44256-1328

Mailing address

1090 Enterprise Dr
Medina, OH 44256-1328
Phone (844) 443-6879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

Interoperability endpoints

  • Direct secure messaging: bcraig51059@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1063671964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 ENTERPRISE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561328",
            "telephone_number": "844-443-6879",
            "fax_number": "844-329-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 ENTERPRISE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561328",
            "telephone_number": "844-443-6879",
            "fax_number": "844-329-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "BRANDON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH, BCACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-28019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.