Active NPI
Jeffrey L McCracken, RPH
- Pharmacist
- Waynesburg, PA
National Provider Identifier
1205902038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP032827R
- Practice address
- 595 E High St
Waynesburg, PA 15370-1805 - Phone
- (724) 627-5454
- Fax
- (724) 627-5429
- NPI assigned
- Nov 24, 2006
- 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 | RP032827R | PA | Primary |
Addresses
Primary practice location
595 E High St
Waynesburg, PA 15370-1805
Mailing address
175 Zimmer LN
Waynesburg, PA 15370-3419
Phone (724) 627-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP032827R | Other | PA | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP032827R | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCracken Pharmacy Inc | Past | Accepting new patients | |
| McCracken Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Waynesburg, PA
- NPI 1255920310
-
- Community/Retail Pharmacy
- Waynesburg, PA
- NPI 1750467239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1205902038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 ZIMMER LN",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153703419",
"telephone_number": "724-627-5454",
"fax_number": "724-627-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 E HIGH ST",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153701805",
"telephone_number": "724-627-5454",
"fax_number": "724-627-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRACKEN",
"first_name": "JEFFREY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP032827R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RP032827R",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.