Active NPI
Jason Crumley, PHARMD.
- Pharmacist
- Mansfield, TX
National Provider Identifier
1508205220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48913
- Practice address
- 3300 E Broad St
Mansfield, TX 76063-5629 - Phone
- (817) 435-5418
- Fax
- (817) 435-5420
- NPI assigned
- Jun 15, 2013
- 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 | 48913 | TX | Primary |
Addresses
Primary practice location
3300 E Broad St
Mansfield, TX 76063-5629
Mailing address
3300 E Broad St
Mansfield, TX 76063-5629
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48913 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Mansfield, TX
- NPI 1780977785
-
- Community/Retail Pharmacy
- Fort Worth, TX
- NPI 1407747439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371254400000",
"number": "1508205220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 E BROAD ST",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E BROAD ST",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635629",
"telephone_number": "817-435-5418",
"fax_number": "817-435-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMLEY",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-15",
"last_updated": "2013-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.