Active NPI
Gregory Eudell Crane, RPH
- Pharmacist
- Wetumpka, AL
National Provider Identifier
1063680403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13470
- Practice address
- 806 Company St
Wetumpka, AL 36092-2011 - Phone
- (334) 201-8547
- NPI assigned
- Feb 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13470 | AL | Primary |
| Pharmacist | 183500000X | 7536 | MS |
Addresses
Primary practice location
806 Company St
Wetumpka, AL 36092-2011
Mailing address
PO Box 666
Wetumpka, AL 36092-0012
Phone (334) 201-8547
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7536 | MS | MD | Pharmacist |
| 13470 | AL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1063680403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 666",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360920012",
"telephone_number": "334-201-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 COMPANY ST",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360922011",
"telephone_number": "334-201-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "GREGORY",
"middle_name": "EUDELL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13470",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "7536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wetumpka, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.