Active NPI
Morgan Crain, PHARMD
- Pharmacist
- Erwin, TN
National Provider Identifier
1396462115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46400
- Practice address
- 401 N Main Ave
Erwin, TN 37650-1207 - Phone
- (423) 743-4662
- NPI assigned
- Oct 24, 2022
- Last updated
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46400 | TN | Primary |
Addresses
Primary practice location
401 N Main Ave
Erwin, TN 37650-1207
Mailing address
2201 Cherokee Rd Apt 18
Johnson City, TN 37604-3478
Phone (606) 369-0096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46400 | Other | TN | PHARMACY LICENSE NUMBER |
Other names 1
- Morgan Roberts
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RXM.10299@store.walgreens.com |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46400 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
401 N Main Ave
Erwin, TN 37650
Phone (423) 743-4662
Interoperability endpoints
- rxm.10299@store.walgreens.com
Organizations & group practices 2
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": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1396462115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 CHEROKEE RD APT 18",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376043478",
"telephone_number": "606-369-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N MAIN AVE",
"city": "ERWIN",
"state": "TN",
"postal_code": "376501207",
"telephone_number": "423-743-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIN",
"first_name": "MORGAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "46400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "46400",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RXM.10299@store.walgreens.com",
"affiliation": "N",
"address_1": "401 N Main Ave",
"city": "Erwin",
"state": "TN",
"country_code": "US",
"postal_code": "376501207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MORGAN",
"last_name": "ROBERTS",
"credential": "MORGAN ROBERTS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Erwin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.