Individual provider Active NPI

Brandi Synclair Crevar, PHARMD

  • Pharmacist
  • Thomasville, GA
National Provider Identifier
1164058426
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH031870 Issued in GA
Practice address
301 S Broad St
Thomasville, GA 31792-5546
Phone
(229) 228-7658
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH031870 GA Primary

Addresses

Primary practice location

301 S Broad St
Thomasville, GA 31792-5546

Mailing address

2394 Hadley Ferry Rd
Cairo, GA 39828-7104
Phone (229) 327-4135

Other names 1

  • Brandi Synclair Burks Former name

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

LicenseStateTypeSpecialty
RPH031870GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1164058426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 HADLEY FERRY RD",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398287104",
            "telephone_number": "229-327-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925546",
            "telephone_number": "229-228-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREVAR",
        "first_name": "BRANDI",
        "middle_name": "SYNCLAIR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "BURKS",
            "middle_name": "SYNCLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.