Individual provider Active NPI

Rebecca Wood McCraven, PHARM.D.

  • Pharmacist
  • Salem, VA
National Provider Identifier
1538184767
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202205371 Issued in VA
Practice address
1970 Roanoke Blvd
Department of Pharmacy (119)
Salem, VA 24153-6478
Phone
(540) 982-2463
Fax
(540) 855-3478
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202205371 VA Primary

Addresses

Primary practice location

1970 Roanoke Blvd
Department of Pharmacy (119)
Salem, VA 24153-6478

Mailing address

1970 Roanoke Blvd
Department of Pharmacy (119)
Salem, VA 24153-6478
Phone (540) 982-2463

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

LicenseStateTypeSpecialty
0202205371VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1538184767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 ROANOKE BLVD",
            "address_2": "DEPARTMENT OF PHARMACY (119)",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536478",
            "telephone_number": "540-982-2463",
            "fax_number": "540-855-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 ROANOKE BLVD",
            "address_2": "DEPARTMENT OF PHARMACY (119)",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536478",
            "telephone_number": "540-982-2463",
            "fax_number": "540-855-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAVEN",
        "first_name": "REBECCA",
        "middle_name": "WOOD",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.