Individual provider Active NPI

Bruce A Cratty, RP

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1326128307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8378 Issued in NE
Practice address
7710 Mercy Rd Ste 110
Omaha, NE 68124-2346
Phone
(402) 398-6781
Fax
(402) 398-6036
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8378 NE Primary

Addresses

Primary practice location

7710 Mercy Rd Ste 110
Omaha, NE 68124-2346

Mailing address

7710 Mercy Rd Ste 110
Omaha, NE 68124-2346
Phone (402) 398-6781

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
8378NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326128307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242346",
            "telephone_number": "402-398-6781",
            "fax_number": "402-398-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242346",
            "telephone_number": "402-398-6781",
            "fax_number": "402-398-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRATTY",
        "first_name": "BRUCE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "8378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.