Individual provider Active NPI

Steven Anthony Cronen

  • Pharmacy Technician
  • Eagle, ID
National Provider Identifier
1659939080
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
CT36142 Issued in ID
Practice address
250 S Eagle Rd
Eagle, ID 83616-5906
Phone
(208) 939-9854
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X CT36142 ID Primary

Addresses

Primary practice location

250 S Eagle Rd
Eagle, ID 83616-5906

Mailing address

250 S Eagle Rd
Eagle, ID 83616-5906
Phone (208) 939-9854

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s0182c01@albertsons.com

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

LicenseStateTypeSpecialty
CT36142IDMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1659939080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S EAGLE RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165906",
            "telephone_number": "208-939-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S EAGLE RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165906",
            "telephone_number": "208-939-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONEN",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "ID",
            "license": "CT36142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s0182c01@albertsons.com",
            "affiliation": "N",
            "address_1": "250 S Eagle Rd",
            "city": "Eagle",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836165906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.