Active NPI
Andrew Philip Craciun, PHARMD
- Pharmacist
- Vancouver, WA
National Provider Identifier
1114670890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61204249
- Practice address
- 3505 SE 192ND Ave
Vancouver, WA 98683-1436 - Phone
- (360) 253-3016
- NPI assigned
- Feb 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61204249 | WA | Primary |
Addresses
Primary practice location
3505 SE 192ND Ave
Vancouver, WA 98683-1436
Mailing address
3505 SE 192ND Ave
Vancouver, WA 98683-1436
Phone (360) 253-3016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61204249 | Other | WA | PHARMACIST LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | andrew.craciun@stores.qfci.com | Health Information Exchange (HIE) | QFC 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 |
|---|---|---|---|
| 61204249 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1114670890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 SE 192ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831436",
"telephone_number": "360-253-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 SE 192ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831436",
"telephone_number": "360-253-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRACIUN",
"first_name": "ANDREW",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "61204249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "61204249",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "andrew.craciun@stores.qfci.com",
"affiliation": "Y",
"endpointDescription": "Work E-mail",
"affiliationName": "QFC pharmacy",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3505 SE 192nd Ave",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986831436",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.