Active NPI
Mary Catherine M Crocker, PHARMD
- Pharmacist
- Foley, AL
National Provider Identifier
1548530231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15757
- Practice address
- 698 S McKenzie St
Foley, AL 36535-3541 - Phone
- (251) 971-6258
- Fax
- (251) 971-6259
- NPI assigned
- Jan 11, 2012
- 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 | 15757 | AL | Primary |
Addresses
Primary practice location
698 S McKenzie St
Foley, AL 36535-3541
Mailing address
698 S McKenzie St.
Foley, AL 36535
Phone (251) 971-6258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6495538 | Other | AL | DRIVERS LISCENSE |
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 |
|---|---|---|---|
| 15757 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1548530231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "698 S MCKENZIE ST.",
"city": "FOLEY",
"state": "AL",
"postal_code": "36535",
"telephone_number": "251-971-6258",
"fax_number": "251-971-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 S MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365353541",
"telephone_number": "251-971-6258",
"fax_number": "251-971-6259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKER",
"first_name": "MARY CATHERINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LISCENSE",
"identifier": "6495538",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.