Active NPI
Sandra Cravens
- Pharmacist
- Sedona, AZ
National Provider Identifier
1356947733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S7652
- Practice address
- 160 Coffee Pot Dr
Sedona, AZ 86336-4505 - Phone
- (928) 282-9541
- Fax
- (928) 282-9544
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | S7652 | AZ | |
| Pharmacist | 183500000X | S7652 | AZ | Primary |
Addresses
Primary practice location
160 Coffee Pot Dr
Sedona, AZ 86336-4505
Mailing address
415 S Libby LN
Cornville, AZ 86336
Phone (928) 592-3040
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
| License | State | Type | Specialty |
|---|---|---|---|
| S7652 | AZ | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1356947733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S LIBBY LN",
"city": "CORNVILLE",
"state": "AZ",
"postal_code": "86336",
"telephone_number": "928-592-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 COFFEE POT DR",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863364505",
"telephone_number": "928-282-9541",
"fax_number": "928-282-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVENS",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AZ",
"license": "S7652",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S7652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.