Active NPI
Jeremiah Patrick Crean, PHARM. D.
- Pharmacist
- Round Rock, TX
National Provider Identifier
1295579530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74672
- Practice address
- 16900 Ranch Road 620
Round Rock, TX 78681-3911 - Phone
- (512) 238-7905
- NPI assigned
- Jun 21, 2024
- Last updated
- Aug 30, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pharmacist | 183500000X | 74672 | TX | Primary |
Addresses
Primary practice location
16900 Ranch Road 620
Round Rock, TX 78681-3911
Mailing address
16900 Ranch Road 620
Round Rock, TX 78681-3911
Phone (512) 238-7905
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
| License | State | Type | Specialty |
|---|---|---|---|
| 74672 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1295579530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16900 RANCH ROAD 620",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786813911",
"telephone_number": "512-238-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16900 RANCH ROAD 620",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786813911",
"telephone_number": "512-238-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREAN",
"first_name": "JEREMIAH",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-21",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "74672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.