Individual provider Active NPI

Mary A. Crane

  • Pharmacist
  • Warsaw, IN
National Provider Identifier
1306439922
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26016113A Issued in IN
Practice address
1775 E Center St
Warsaw, IN 46580-3603
Phone
(574) 267-7356
Fax
(574) 267-1599
NPI assigned
Feb 15, 2021
Last updated
Feb 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26016113A IN Primary

Addresses

Primary practice location

1775 E Center St
Warsaw, IN 46580-3603

Mailing address

PO Box 572
Winona Lake, IN 46590-0572
Phone (574) 268-8154

Other practice location 1

3537 N Anthony Blvd
Fort Wayne, IN 46805-1423
Phone (260) 373-1083

Other practice location 2

1128 E Winona Ave
Warsaw, IN 46580-4605
Phone (574) 268-8154

Other names 1

  • Mary A. Crane Professional name

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

State licenses

LicenseStateTypeSpecialty
26016113AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Pharmacy Inc CurrentSince Sep 1, 2024 Accepting new patients
RX Holdings, LLC Past Accepting new patients
Hometown Pharmacy Inc PastSince Feb 21, 2021 Accepting new patients

Locations

1775 E Center St
Warsaw, IN 46580
Phone (574) 267-7356

Organizations & group practices 3

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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1306439922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572",
            "city": "WINONA LAKE",
            "state": "IN",
            "postal_code": "465900572",
            "telephone_number": "574-268-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E CENTER ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803603",
            "telephone_number": "574-267-7356",
            "fax_number": "574-267-1599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 N Anthony Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468051423",
            "country_code": "US",
            "telephone_number": "260-373-1083",
            "fax_number": "260-739-3927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1128 E Winona Ave",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465804605",
            "country_code": "US",
            "telephone_number": "574-268-8154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANE",
        "first_name": "MARY",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26016113A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CRANE",
            "middle_name": "A.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.