Mekaliah Raydawn Creese, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS62805 Issued in FL

Practice address

1425 Dunn Ave
Daytona Beach, FL 32114-1437

Phone

(386) 323-9808

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1306510185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 MAJESTIC WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373326",
            "telephone_number": "954-512-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141437",
            "telephone_number": "386-323-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREESE",
        "first_name": "MEKALIAH",
        "middle_name": "RAYDAWN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS62805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L Crawford, PA-C
• Jade Crawford
• Karan Crawford, LPN
• Stacy Lynn Crayne, APRN
• Shaneqwa Credle
• Bruce Howard Crewe, MD
• Crews Chiropractic PA
• Brandon L Crews, D.C.
• Michael Criscio, R.PH
• Jason Lee Crist

• Pharmacist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.