Individual provider Active NPI

Van C Creamer, RPH

  • Pharmacist
  • Graysville, AL
National Provider Identifier
1609192210
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7779 Issued in AL
Practice address
1461Southmainst
Plazadiscountapothecary;Inc
Graysville, AL 35073
Phone
(205) 674-0680
Fax
(205) 674-5157
NPI assigned
Apr 8, 2010
Last updated
Apr 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7779 AL Primary

Addresses

Primary practice location

1461Southmainst
Plazadiscountapothecary;Inc
Graysville, AL 35073

Mailing address

1461 South Main St
Plaza Discount Pharmacy;Inc
Graysville, AL 35073
Phone (205) 674-0680

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
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1609192210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 SOUTH MAIN ST",
            "address_2": "PLAZA DISCOUNT PHARMACY;INC",
            "city": "GRAYSVILLE",
            "state": "AL",
            "postal_code": "35073",
            "telephone_number": "205-674-0680",
            "fax_number": "205-674-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461SOUTHMAINST",
            "address_2": "PLAZADISCOUNTAPOTHECARY;INC",
            "city": "GRAYSVILLE",
            "state": "AL",
            "postal_code": "35073",
            "telephone_number": "205-674-0680",
            "fax_number": "205-674-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAMER",
        "first_name": "VAN",
        "middle_name": "C",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "7779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graysville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.