Active NPI
Debora Jo Crowley, B.S.
- Pharmacist
- Potterville, MI
National Provider Identifier
1093903247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302021917
- Practice address
- 123 E Lansing Rd
Potterville, MI 48876-9799 - Phone
- (517) 645-7680
- Fax
- (517) 645-7698
- NPI assigned
- Oct 11, 2007
- Last updated
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302021917 | MI | Primary |
Addresses
Primary practice location
123 E Lansing Rd
Potterville, MI 48876-9799
Mailing address
4309 Jenks Hwy
Eaton Rapids, MI 48827-8039
Phone (517) 645-7680
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302021917 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilderns Drug Store | 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.
-
- Pharmacy
- Potterville, MI
- NPI 1881669745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1093903247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 JENKS HWY",
"city": "EATON RAPIDS",
"state": "MI",
"postal_code": "488278039",
"telephone_number": "517-645-7680",
"fax_number": "517-645-7698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E LANSING RD",
"city": "POTTERVILLE",
"state": "MI",
"postal_code": "488769799",
"telephone_number": "517-645-7680",
"fax_number": "517-645-7698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "DEBORA",
"middle_name": "JO",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302021917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potterville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.