Active NPI
Charles William Craig Jr., CPHT
- Pharmacy Technician
- Gardendale, AL
National Provider Identifier
1508577875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T65414
- Practice address
- 7180 Pine Mountain Cir
Gardendale, AL 35071-1135 - Phone
- (205) 960-3557
- NPI assigned
- Dec 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pharmacy Technician | 183700000X | T65414 | AL | Primary |
Addresses
Primary practice location
7180 Pine Mountain Cir
Gardendale, AL 35071-1135
Mailing address
7180 Pine Mountain Cir
Gardendale, AL 35071-1135
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 |
|---|---|---|---|
| T65414 | AL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1508577875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7180 PINE MOUNTAIN CIR",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350711135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 PINE MOUNTAIN CIR",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350711135",
"telephone_number": "205-960-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-07",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "AL",
"license": "T65414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.