Active NPI
Candice Jean Crownover
- Pharmacist
- Cullman, AL
National Provider Identifier
1427878701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14017
- Practice address
- 1701 Main Ave SW
Cullman, AL 35055-5299 - Phone
- (256) 737-3773
- Fax
- (256) 737-3775
- NPI assigned
- Oct 11, 2024
- 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 | 14017 | AL | Primary |
Addresses
Primary practice location
1701 Main Ave SW
Cullman, AL 35055-5299
Mailing address
40 County Road 383
Cullman, AL 35057-3969
Phone (256) 595-1122
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 |
|---|---|---|---|
| 14017 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1427878701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 COUNTY ROAD 383",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350573969",
"telephone_number": "256-595-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 MAIN AVE SW",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350555299",
"telephone_number": "256-737-3773",
"fax_number": "256-737-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWNOVER",
"first_name": "CANDICE",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.