Active NPI
William Marshall Crabtree III, PHARMD
- Pharmacist
- West Linn, OR
National Provider Identifier
1093066342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PI-0010778
- Practice address
- 5639 Hood St
West Linn, OR 97068-3235 - Phone
- (509) 607-4673
- Fax
- (503) 650-7855
- NPI assigned
- Sep 26, 2012
- Sex
- Male
- Sole proprietor
- No
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 | PI-0010778 | OR | Primary |
| Pharmacist | 183500000X | IR 60281819 | WA |
Addresses
Primary practice location
5639 Hood St
West Linn, OR 97068-3235
Mailing address
5639 Hood St
West Linn, OR 97068-3235
Phone (509) 607-4673
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IR 60281819 | Other | WA | STATE PHARMACY INTERN LICENSE |
| RPH-0013722 | Other | OR | OR BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI-0010778 | OR | MD | Pharmacist |
| IR 60281819 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hi School Pharmacy of Oregon Inc | Past | Accepting new patients |
Interoperability endpoints
- wcrabtree836652@direct.ochin.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- West Linn, OR
- NPI 1033178421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1093066342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5639 HOOD ST",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683235",
"telephone_number": "509-607-4673",
"fax_number": "503-650-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5639 HOOD ST",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683235",
"telephone_number": "509-607-4673",
"fax_number": "503-650-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "WILLIAM",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "PI-0010778",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR 60281819",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY INTERN LICENSE",
"identifier": "IR 60281819",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OR BOARD OF PHARMACY",
"identifier": "RPH-0013722",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.