Active NPI
Vernon Crelia
- Pharmacist
- McKinney, TX
National Provider Identifier
1457948663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30606
- Practice address
- 1670 W University Dr
McKinney, TX 75069-3444 - Phone
- (972) 562-4506
- NPI assigned
- Dec 22, 2020
- Last updated
- Dec 22, 2020
- Sex
- Male
- 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 | 30606 | TX | Primary |
Addresses
Primary practice location
1670 W University Dr
McKinney, TX 75069-3444
Mailing address
126 Preston GLN
Gunter, TX 75058-9503
Phone (214) 566-8539
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 |
|---|---|---|---|
| 30606 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1457948663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 PRESTON GLN",
"city": "GUNTER",
"state": "TX",
"postal_code": "750589503",
"telephone_number": "214-566-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 W UNIVERSITY DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693444",
"telephone_number": "972-562-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRELIA",
"first_name": "VERNON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "30606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.