Jonathan Crabill, PHARMD
Individual provider Active NPI Pharmacist · Leo, IN
NPI 1245875640 · NPPES record last updated Nov 10, 2019
Key facts
- NPI
- 1245875640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26022017A (IN)
- Practice address
- 13821 Leo Rd
Leo, IN 46765-9400 - Phone
- (260) 417-1876
- NPI assigned
- Nov 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26022017A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Medical Outreach, Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26022017A | IN | Yes |
Addresses
Primary practice location
13821 Leo Rd
Leo, IN 46765-9400
Mailing address
13821 Leo Rd
Leo, IN 46765-9400
Other providers in Leo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.