Kayla Crabtree
Individual provider Active NPI Pharmacist · Clarksburg, WV
NPI 1649995283 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1649995283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0012935 (WV)
- Practice address
- 550 Emily Dr
Clarksburg, WV 26301-5508 - Phone
- (304) 622-2784
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0012935 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0012935 | WV | Yes |
Addresses
Primary practice location
550 Emily Dr
Clarksburg, WV 26301-5508
Mailing address
550 Emily Dr
Clarksburg, WV 26301-5508
Other providers in Clarksburg, WV
- Patricia Lee-Ann Coulthart
- Thomas Counts
- Alexis Devon Cox
- Todd Louis Cox
- Katie Diane Cozad
- Tera Leigh Craig
- Ashley Crandall
- Rebecca Kay Creamer
- Vannessa Crim
- Crimson Counseling Services
All providers in Clarksburg, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.