Crandall'S Medical Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY441704 Issued in CA

Legal business name

CRANDALL'S MEDICAL PHARMACY

Practice address

360 E 7TH St Ste F
Upland, CA 91786-6701

Phone

(909) 985-6814

Fax

(909) 985-9087

NPI assigned

Mar 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert S Iqal, RPHNPI 1245376672

Title

Pharmacist

Phone

(909) 985-6814

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert S Iqal

  • Pharmacist
  • Upland, CA
  • NPI 1245376672
  NPD (past) Authorized official
• Adriana Valdillez

  • Pharmacy Technician
  • Upland, CA
  • NPI 1144369240
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467576538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST STE F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-985-6814",
            "fax_number": "909-985-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST STE F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-985-6814",
            "fax_number": "909-985-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANDALL'S MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IQAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "909-985-6814",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY441704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA417040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel A. Courtright
• Victoria Covarrubias
• Rodney Cowart
• Starla Coyl
• Lynn Ashley Craig
• Heather A Crane, MD
• Blake Eldon Crawford
• Kay Marie Crawford, NP
• Michael T. Creagan, MD
• Crescent Valley Hospice & Palliative Care, Inc.

• Community/Retail Pharmacy in Upland, CA
• Providers in Upland, CA by specialty
• Community/Retail Pharmacy in California

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

Verify at the official NPI Registry.