Active NPI
Avonna Crabill, RPH
- Pharmacist
- Angola, IN
National Provider Identifier
1093097784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26017939A
- Practice address
- 2012 N Wayne St
Angola, IN 46703-9102 - Phone
- (260) 665-5560
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26017939A | IN | Primary |
| Pharmacist | 183500000X | PS37531 | FL | |
| Pharmacist | 183500000X | 5302035725 | MI |
Addresses
Primary practice location
2012 N Wayne St
Angola, IN 46703-9102
Mailing address
2012 N Wayne St
Angola, IN 46703-9102
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 |
|---|---|---|---|
| PS37531 | FL | MD | Pharmacist |
| 26017939A | IN | MD | Pharmacist |
| 5302035725 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1093097784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 N WAYNE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467039102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 N WAYNE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467039102",
"telephone_number": "260-665-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABILL",
"first_name": "AVONNA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26017939A",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37531",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035725",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.