Trey Crandall, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Orange, TX
NPI 1104468271 · NPPES record last updated May 24, 2026
Key facts
- NPI
- 1104468271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 53889 (TX)
- Practice address
- 1600 N 16TH St
Orange, TX 77630-3616 - Phone
- (409) 886-1362
- Fax
- (409) 886-8216
- NPI assigned
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53889 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas L P | Past | Accepting new patients | |
| Kroger Texas LP | Past | Accepting new patients | |
| McMakin Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 53889 | TX | Yes |
| Pharmacist | 183500000X | 53889 | TX |
Addresses
Primary practice location
1600 N 16TH St
Orange, TX 77630-3616
Mailing address
1600 N 16TH St
Orange, TX 77630-3616
Phone (409) 886-1362
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53889 | Other | TX | TEXAS PHARMACY LICENSE NUMBER |
Other providers in Orange, TX
- Theophilus O Chukwueke
- Candace Cogswell
- Terri Colburn-Hoyland
- Sheila R Cole
- Sarah Anthon Cowart
- Crescent Rising Incorporated
- Elizabeth Cuevas
- Troy Cunningham
- CVS Pharmacy Inc
- CVS Pharmacy Inc
All providers in Orange, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.