Jacob M Crawford, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

4272 Issued in WY

Practice address

2304 E Lincolnway
Cheyenne, WY 82001-5416

Phone

(307) 635-0241

NPI assigned

Nov 1, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Cheyenne, WY
  • NPI 1215942396
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1093315624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 E 12TH ST UNIT 4",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820016785",
            "telephone_number": "440-759-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E LINCOLNWAY",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015416",
            "telephone_number": "307-635-0241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Dell Range Blvd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820094853",
            "country_code": "US",
            "telephone_number": "307-635-5854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "4272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Cozad, FNP-C
• Elizabeth Craig
• Dawn L Cranmore
• Crave Nutrition Rd LLC
• Allyson Bishop Crawford, MSW, LCSW
• Krystal Creager, BS
• Creekside Medical LLC
• Paula Cripe
• Richard E. Crisman
• Todd Cross

• Pharmacist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Pharmacist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.