Individual provider Active NPI

Nathan Crapo

  • Geriatric Pharmacist
  • Phoenix, AZ
National Provider Identifier
1477208767
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
S022388 Issued in AZ
Practice address
925 E Covey LN
Phoenix, AZ 85024-5674
Phone
(623) 815-8965
Fax
(623) 815-1222
NPI assigned
Feb 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X S022388 AZ Primary

Addresses

Primary practice location

925 E Covey LN
Phoenix, AZ 85024-5674

Mailing address

8612 E Olla Ave
Mesa, AZ 85212-1577
Phone (480) 369-2386

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

LicenseStateTypeSpecialty
S022388AZMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Pharmacy of Arizona, LLC CurrentSince Feb 24, 2022 Accepting new patients

Locations

925 E Covey Ln
Phoenix, AZ 85024
Phone (623) 815-8965

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1477208767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 E OLLA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121577",
            "telephone_number": "480-369-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E COVEY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245674",
            "telephone_number": "623-815-8965",
            "fax_number": "623-815-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAPO",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "AZ",
            "license": "S022388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.