Active NPI
Paul Joseph Crebase, RPH
- Pharmacotherapy Pharmacist
- Hinsdale, NH
National Provider Identifier
1225695125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- R1140
- Practice address
- 724 Brattleboro Rd
Hinsdale, NH 03451-2359 - Phone
- (603) 386-5548
- NPI assigned
- May 26, 2019
- Last updated
- May 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R1140 | NH | |
| Pharmacotherapy Pharmacist | 1835P1200X | R1140 | NH | Primary |
Addresses
Primary practice location
724 Brattleboro Rd
Hinsdale, NH 03451-2359
Mailing address
724 Brattleboro Rd
Hinsdale, NH 03451-2359
Phone (603) 386-5548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1140 | Other | NH | PHARMACIST |
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 |
|---|---|---|---|
| R1140 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558828800000",
"number": "1225695125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 BRATTLEBORO RD",
"city": "HINSDALE",
"state": "NH",
"postal_code": "034512359",
"telephone_number": "603-386-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 BRATTLEBORO RD",
"city": "HINSDALE",
"state": "NH",
"postal_code": "034512359",
"telephone_number": "603-386-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREBASE",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-26",
"last_updated": "2019-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1140",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NH",
"license": "R1140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "R1140",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.