Kierra Watson McCrary

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS53835 Issued in FL

Practice address

6790 Daniels Pkwy
Fort Myers, FL 33912-7521

Phone

(239) 433-4091

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Fort Myers, FL
  • NPI 1033124235
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1396121570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 PINE OAK CIR APT 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339167440",
            "telephone_number": "954-648-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 DANIELS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127521",
            "telephone_number": "239-433-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12610 Equestrian Cir",
            "address_2": "Apt 1614",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339077584",
            "country_code": "US",
            "telephone_number": "954-648-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "KIERRA",
        "middle_name": "WATSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS53835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary M McCormack, RD, LDN
• Dorene Mary McCoy, APRN
• Evyn McCoy
• John D McCoy, MHS
• Richard McCoy, LDO
• John McCue, ARNP
• Jocee McCullar
• Susan D McCullum, M.D.
• William Hanes McCuskey, M.D.
• Karla McDaniel

• Pharmacist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pharmacist in Florida

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