Active NPI
Kaye Crandall, RPH
- Pharmacist
- Skokie, IL
National Provider Identifier
1508083171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00011501
- Practice address
- 5510 Howard St
Skokie, IL 60077-2620 - Phone
- (847) 588-7170
- NPI assigned
- Apr 18, 2007
- 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 | PH00011501 | WA | Primary |
Addresses
Primary practice location
5510 Howard St
Skokie, IL 60077-2620
Mailing address
20795 Kahler Dr Unit H7
Leavenworth, WA 98826-9170
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00011501 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237593600000",
"number": "1508083171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20795 KAHLER DR UNIT H7",
"city": "LEAVENWORTH",
"state": "WA",
"postal_code": "988269170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 HOWARD ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772620",
"telephone_number": "847-588-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "KAYE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2009-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00011501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.