Individual provider Active NPI

Emma Craciun

  • Pharmacist
  • Vancouver, WA
National Provider Identifier
1508777087
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
61457010 Issued in WA
Practice address
3801 Main St Ste a
Vancouver, WA 98663-2258
Phone
(360) 480-7890
NPI assigned
Sep 15, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0019997 OR
Pharmacist 183500000X 61457010 WA Primary

Addresses

Primary practice location

3801 Main St Ste a
Vancouver, WA 98663-2258

Mailing address

304 NW 102ND St
Vancouver, WA 98685-5233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1508777087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 NW 102ND ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986855233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MAIN ST STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632258",
            "telephone_number": "360-480-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRACIUN",
        "first_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0019997",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "61457010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.