Breanna Crockett, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

38210 Issued in NC

Practice address

9931 Gilead Rd
Huntersville, NC 28078-7544

Phone

(704) 875-7653

NPI assigned

Dec 8, 2023

Last updated

Dec 8, 2023By the provider in NPPES

Sex

Female

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Carolina CVS Pharmacy LLC

  dba CVS Pharmacy #17903

  • Pharmacy
  • Southern Pines, NC
  • NPI 1538999107
  NPD (past)
• North Carolina CVS Pharmacy, L.L.C.

  dba CVS Pharmacy #02563

  • Pharmacy
  • Huntersville, NC
  • NPI 1538263207
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1184491235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 GILEAD RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9931 GILEAD RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787544",
            "telephone_number": "704-875-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "BREANNA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "38210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Create U Medical Weight Loss, PLLC (CU Infusion)
• Victoria Nusheen Creuzberger, PA
• Nicholas R Crews, MD
• Margaret Marie Crisp
• Lori Critcher, NBC-HWC
• Susan M Crosby, RD, LDN
• Madison Cross
• Jessica Nichole Crowe, LCSW
• Frederick A Cruickshank, M.D.
• Nicole R Cullen, MD

• Pharmacist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.