Active NPI
Colin Kelly Crebs, NUCLEAR PHARMACIST
- Nuclear Pharmacist
- Salt Lake City, UT
National Provider Identifier
1629236591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Pharmacist
- License
- 145579-1701
- Practice address
- 391 Chipeta Way
Suite a
Salt Lake City, UT 84108-1263 - Phone
- (801) 581-8189
- Fax
- (801) 585-7273
- NPI assigned
- May 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Pharmacist | 1835N0905X | 145579-1701 | UT | Primary |
Addresses
Primary practice location
391 Chipeta Way
Suite a
Salt Lake City, UT 84108-1263
Mailing address
391 Chipeta Way Suite a
Intermountain Radiopharmacy
Salt Lake City, UT 84108-2703
Phone (801) 581-8189
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 |
|---|---|---|---|
| 145579-1701 | UT | MD | Nuclear Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1629236591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 CHIPETA WAY SUITE A",
"address_2": "INTERMOUNTAIN RADIOPHARMACY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841082703",
"telephone_number": "801-581-8189",
"fax_number": "801-585-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 CHIPETA WAY",
"address_2": "SUITE A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081263",
"telephone_number": "801-581-8189",
"fax_number": "801-585-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREBS",
"first_name": "COLIN",
"middle_name": "KELLY",
"credential": "NUCLEAR PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "UT",
"license": "145579-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.