Active NPI
Jacob Crowe, PHARMACIST
- Pharmacist
- Fayetteville, NC
National Provider Identifier
1639645955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29316
- Practice address
- 3026 Bragg Blvd
Fayetteville, NC 28303-4043 - Phone
- (517) 410-5301
- NPI assigned
- Oct 15, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29316 | NC | Primary |
Addresses
Primary practice location
3026 Bragg Blvd
Fayetteville, NC 28303-4043
Mailing address
3134 Harmony Hall Way Apt 301
Fayetteville, NC 28303-5199
Phone (517) 410-5301
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 |
|---|---|---|---|
| 29316 | NC | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1639645955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3134 HARMONY HALL WAY APT 301",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035199",
"telephone_number": "517-410-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3026 BRAGG BLVD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034043",
"telephone_number": "517-410-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-15",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.